Healthcare Provider Details

I. General information

NPI: 1710198759
Provider Name (Legal Business Name): TIMOTHY THOMAS HAMILTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8530 W SUNSET RD STE 110
LAS VEGAS NV
89113-2244
US

IV. Provider business mailing address

801 S RANCHO DR STE E6
LAS VEGAS NV
89106-3812
US

V. Phone/Fax

Practice location:
  • Phone: 702-240-6482
  • Fax:
Mailing address:
  • Phone: 702-240-6482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number12249
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: