IndividualActive
John Ham, MD
NPI 1104834639 · Vascular Surgery Physician · Las Vegas, NV
Provider details
- NPI number
- 1104834639
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD23440 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1120 Shadow Ln
Suite D-100
Las Vegas, NV 89102-2342
Phone: (702) 383-2224
Fax: (702) 383-3035
Street-level locationGet directions
Mailing address
1701 W Charleston Blvd
Las Vegas, NV 89102-2325
Additional practice locations (1)
- 2450 Fire Mesa St Ste 100Las Vegas, NV 89128-9034Phone: (702) 341-8031Fax: (702) 558-9059
Registry dates
- Enumerated
- 2006-08-03
- Last updated
- 2021-03-23
- Certified
- 2021-03-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.