MEDICARE: MR. STEPHEN TRAVIS DERRICK STOREY MD

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	207P00000X	Emergency Medicine Physician	14530	NV

General Provider Information

NPI Number	:	1598850190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEPHEN TRAVIS DERRICK STOREY MD

Provider Business Mailing Address
First Line	:	500 NORTH RAINBOW BOULEVARD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107
Country	:	US
Telephone Number	:	216-906-2524
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 N RAINBOW BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89107-1082
Country	:	US
Telephone Number	:	216-906-2524
Fax Number	:

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	12/11/2014

Similar Medicare Providers

1730135534 — DR. DONALD H REISCH MD
Practice Location Address:

500 N RAINBOW BLVD , SUITE230
LAS VEGAS, NV
89107-1082

Practice Phone: 702-259-1228
Practice Fax:

1023051760 — TIMOTHY VANDUZER MD
Practice Location Address:

500 N RAINBOW BLVD , SUITE 203
LAS VEGAS, NV
89107-1082

Practice Phone: 702-259-1228
Practice Fax: 702-259-1272

1124057443 — KEALANALANI R THOMPSON M.D.
Practice Location Address:

500 N RAINBOW BLVD , SUITE 203
LAS VEGAS, NV
89107-1082

Practice Phone: 702-259-1228
Practice Fax: 702-259-1252

1851310379 — MRS. REBECCA LYNN HOUSTON PA-C
Practice Location Address:

500 N RAINBOW BLVD , #203
LAS VEGAS, NV
89107-1082

Practice Phone: 702-259-1228
Practice Fax:

1003917055 — MATT HAI PHAM MD
Practice Location Address:

500 N RAINBOW BLVD , SUITE 300
LAS VEGAS, NV
89107-1082

Practice Phone: 702-450-1717
Practice Fax: 702-947-6740

1659472199 — VEGAS VALLEY REHABILITATION
Practice Location Address:

500 N RAINBOW BLVD , SUITE 115
LAS VEGAS, NV
89107-1082

Practice Phone: 702-256-8080
Practice Fax: 702-256-8081

Directions to “ MR. STEPHEN TRAVIS DERRICK STOREY MD” 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.