Provider Demographics
NPI:1497733265
Name:FILDES, JOHN J (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:J
Last Name:FILDES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2040 W CHARLESTON BLVD
Mailing Address - Street 2:#301
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-2227
Mailing Address - Country:US
Mailing Address - Phone:702-671-2201
Mailing Address - Fax:702-385-9399
Practice Address - Street 1:1707 W CHARLESTON BLVD
Practice Address - Street 2:SUITE 160
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2351
Practice Address - Country:US
Practice Address - Phone:702-671-2201
Practice Address - Fax:702-385-9399
Is Sole Proprietor?:No
Enumeration Date:2006-01-03
Last Update Date:2013-01-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV77172086S0127X, 208600000X, 2086S0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV880330858OtherANTHEM BC/BS
NV880330858OtherSIERRA HEALTH SERVICES
NV880330858OtherGREAT-WEST
NV880330858OtherPACIFICARE
NV967532OtherFIRST HEALTH/CCN
NVXPY189314OtherMEDI-CAL
NV629917OtherAHCCCS
NV880330858OtherAFFILIATED HEALTH FUNDS
NV880330858OtherCIGNA
NV880330858OtherUNITED HEALTHCARE
NVCD9455OtherMEDICARE - RR
NV880330858OtherUNIVERSAL HEALTH NETWORK
NV880330858OtherHORIZON/MCC
NV000R4167OtherMEDICAID - MEXICO
NV002019832Medicaid
NV537373OtherUSA/MCO HEALTH NETWORKS
NV880330858OtherCHOICE CARE/HUMANA
NV880330858OtherCHOICE CARE/HUMANA
NV880330858OtherPACIFICARE