Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Andrew S Rackham, PA

Individual provider Surgical Physician Assistant · NPI 1831556190

Mr. Andrew S Rackham, PA is a Surgical Physician Assistant in Henderson, Nevada. Licensed in Nevada. Registered with an NPI since 2016.

Licensed in
NV
In the registry since
2016
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2839 Saint Rose Pkwy Ste 100
Henderson, NV 89052-4849
Phone: (702) 837-8988
Fax: (702) 990-5269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA1704 (NV)

Record details

NPI number1831556190
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 18, 2016
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024

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