MEDICARE: TYSON S.J. WARD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	LL32028	SC
2	207W00000X	Ophthalmology Physician	0101253787	VA
3	208600000X	Surgery Physician	LL32028	SC
4	207WX0107X	Retina Specialist (Ophthalmology) Physician	15712	NV

General Provider Information

NPI Number	:	1578791372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TYSON S.J. WARD M.D.

Provider Business Mailing Address
First Line	:	6980 SMOKE RANCH RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-8606
Country	:	US
Telephone Number	:	702-732-4500
Fax Number	:	702-818-1393

Provider Business Practice Location Address
First Line	:	6980 SMOKE RANCH RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-8606
Country	:	US
Telephone Number	:	702-732-4500
Fax Number	:	702-818-1393

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2009
Last Update Date	:	03/10/2021

Similar Medicare Providers

1265829345 — CHRIS YANG WU M.D.
Practice Location Address:

6980 SMOKE RANCH RD STE 110
LAS VEGAS, NV
89128-8606

Practice Phone: 702-732-4500
Practice Fax: 702-818-1393

1538478904 — ABRAHAM RAFAEL MONTERO B.A. IN PSYCHOLOGY
Practice Location Address:

6865 GOLD NUGGET DR
LAS VEGAS, NV
89122-8606

Practice Phone: 562-445-7708
Practice Fax:

1811651201 — JOSLYN HALL
Practice Location Address:

829 HELD RD
LAS VEGAS, NV
89101-8606

Practice Phone: 702-513-8082
Practice Fax:

1851223309 — AARON QUIAMZON NP
Practice Location Address:

2625 BOX CANYON DR
LAS VEGAS, NV
89128-0450

Practice Phone: 702-360-6100
Practice Fax: 702-360-8096

1598481541 — PURE HEALTHCARE OF NEVADA LLC
Practice Location Address:

7201 W LAKE MEAD BLVD STE 112
LAS VEGAS, NV
89128-8362

Practice Phone: 702-703-5160
Practice Fax: 801-327-0211

1801728704 — SOPHEAR PHOEUK
Practice Location Address:

2211 N RAMPART BLVD
LAS VEGAS, NV
89128-7640

Practice Phone: 702-256-1984
Practice Fax:

Directions to “ TYSON S.J. WARD M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.