MEDICARE: SHM MANAGEMENT, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	207R00000X	Internal Medicine Physician
3	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician
4	207XX0801X	Orthopaedic Trauma Physician
5	2081N0008X	Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
6	207LP2900X	Pain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number	:	1598626327
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHM MANAGEMENT, LLC

Provider Business Mailing Address
First Line	:	5649 FAIRMEADE WAY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-4040
Country	:	US
Telephone Number	:	702-329-4115
Fax Number	:	702-329-4115

Provider Business Practice Location Address
First Line	:	6670 S TENAYA WAY STE 190
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-1964
Country	:	US
Telephone Number	:	702-329-4115
Fax Number	:	702-329-4115

Authorized Official
Title or Position	:	OWNER/PRACTITIONER
Name	:	DR. VIRGINIA HARDIE
Credential	:	MD
Telephone Number	:	402-658-3191

Provider Enumeration Date	:	11/20/2025
Last Update Date	:	11/20/2025

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Directions to “SHM MANAGEMENT, LLC ” Practice Location

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