MEDICARE: MR. ANDREW S RACKHAM PA

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	363AS0400X	Surgical Physician Assistant	PA1704	NV

General Provider Information

NPI Number	:	1831556190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ANDREW S RACKHAM PA

Provider Business Mailing Address
First Line	:	2839 SAINT ROSE PKWY STE 100
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-4849
Country	:	US
Telephone Number	:	702-837-8988
Fax Number	:	702-990-5269

Provider Business Practice Location Address
First Line	:	2839 SAINT ROSE PKWY STE 100
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-4849
Country	:	US
Telephone Number	:	702-837-8988
Fax Number	:	702-990-5269

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

Provider Enumeration Date	:	01/18/2016
Last Update Date	:	11/27/2024

Similar Medicare Providers

1962504126 — DR. RAJAT SOOD MD
Practice Location Address:

2839 SAINT ROSE PKWY STE 130
HENDERSON, NV
89052-4849

Practice Phone: 702-558-4027
Practice Fax: 702-558-4028

1164909396 — NEVADA HEART AND VASCULAR CENTER RESH LLP
Practice Location Address:

2839 ST. ROSE PKWY., STE. 160
HENDERSON, NV
89052-4849

Practice Phone: 702-240-6482
Practice Fax: 702-240-8529

1811456486 — GENICA FELISE GELSON APRN, FNP-BC
Practice Location Address:

2839 ST. ROSE PARKWAY , STE. 160
HENDERSON, NV
89052-4849

Practice Phone: 702-240-6482
Practice Fax: 702-240-8529

1790458552 — LEE THI PHAN PA
Practice Location Address:

2839 SAINT ROSE PKWY STE 100
HENDERSON, NV
89052-4849

Practice Phone: 28-378-9887
Practice Fax: 702-837-8988

1457002289 — NICOLE NAPOLITANO RPSGT
Practice Location Address:

2839 SAINT ROSE PKWY STE 160
HENDERSON, NV
89052-4849

Practice Phone: 702-333-7270
Practice Fax: 702-492-1978

1972211050 — REIKO KIMBERLY TAPIA APRN
Practice Location Address:

2839 SAINT ROSE PKWY STE 130
HENDERSON, NV
89052-4849

Practice Phone: 702-558-4027
Practice Fax:

Directions to “ MR. ANDREW S RACKHAM PA” 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.