SPECIALTY ASC LLC (NPI# 1003064890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003064890 |
Entity Type | Organization |
Organization Name | SPECIALTY ASC LLC |
Other Organization Name | SURGICAL ARTS CENTER |
Practice Address |
9499 W Charleston Blvd Ste 250 Las Vegas NV 89117-7148 |
Practice Telephone | 7029333600 |
Practice Fax Number | 7029333601 |
Mailing Telephone | 7029333600 |
Mailing Fax Number | 7029333601 |
Enumeration Date | 2008-09-04 |
Last Update Date | 2011-10-10 |
Authorized Official Name | MRS. MICHELLE BENNION (ADMINISTRATOR) |
Authorized Official Telephone | 7029333600 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
3406ASC-8 | NV | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | MEDICARE DMERC | 29C0001049 | 01 |
NV | 4602060 | 05 |
Other Name | Type Code |
---|---|
Surgical Arts Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083669196 | Specialty Asc LLC | Clinic/Center | 9499 W Charleston Blvd, Suite 250, Las Vegas, NV 89117-7147 | 2006-05-24 |
Street Address |
9499 W CHARLESTON BLVD STE 250 |
City | LAS VEGAS |
State | NV |
Zip Code | 89117-7148 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134781891 | John W Irwin | Nurse Practitioner | 9499 W Charleston Blvd Ste 250, Las Vegas, NV 89117-7148 | 2019-07-02 |
1033683404 | Marissa Chesebro | Specialist/Technologist, Other | 9499 W Charleston Blvd Ste 250, Las Vegas, NV 89117-7148 | 2019-01-17 |
1750855110 | Morgan Bartz | Specialist/Technologist, Other | 9499 W Charleston Blvd Ste 250, Las Vegas, NV 89117-7148 | 2019-01-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962016923 | Nick Marte | Massage Therapist | 8321 W Sahara Ave 2057, Las Vegas, NV 89117 | 2020-09-06 |
1831709740 | Marizel Yukee | Nurse Practitioner | 3086 Lapis Beach Dr, Las Vegas, NV 89117 | 2020-08-05 |
1336762525 | Mashiko Jenny Tavares | Sleep Specialist, PhD | 1711 Songlight Court, Las Vegas, NV 89117 | 2020-05-21 |
1235772849 | Cornelia Darlau | Counselor | 2753 Lodestone Drive, Las Vegas, NV 89117 | 2019-10-26 |
1861034837 | Luz Aguirre | Technician | 9105 Quiet Cove Way, Las Vegas, NV 89117 | 2019-10-11 |
1043778566 | Maggie Lynn Steel | Occupational Therapist | 7621 W Charleston Blvd, Unit 101, Las Vegas, NV 89117 | 2019-03-04 |
1154805356 | Joyce Ingram | Counselor | 8600 Starboard Dr Apt 2100, Las Vegas, NV 89117 | 2018-09-24 |
1356823421 | Pari Garza | Chore Provider | 9825 Paseo Cresta Ave., Las Vegas, NV 89117 | 2018-09-05 |
1235624297 | Creative Family Health & Wellness Center | Case Management | 6849 W Charleston Blvd Ste B, Las Vegas, NV 89117 | 2018-06-22 |
1790272524 | Las Vegas Sleep Center ( Shamiya) Pllc | Clinic/Center | 2400 S Cimarron Rd, Suite 130, Las Vegas, NV 89117 | 2018-04-17 |
Find all providers in zip 89117 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
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1538797485 | Nevada Rural Healthcare | Clinic/Center | 5785 S Fort Apache Rd Ste B-100, Las Vegas, NV 89148-5659 | 2020-03-27 |
1336772375 | Smith Plastic Surgery Building | Clinic/Center | 7650 W Sahara Ave, Las Vegas, NV 89117-2750 | 2020-02-18 |
1457813107 | Surgeon's Surgery Center Sorelle Pllc | Clinic/Center | 6940 S Cimarron Rd Ste 100, Las Vegas, NV 89113-2135 | 2019-04-02 |
1619439379 | Cimarron Surgery Center Sorelle Pllc | Clinic/Center | 6940 S Cimarron Rd Ste 150, Las Vegas, NV 89113-2135 | 2019-04-02 |
1780140772 | Adios Estenosis LLC | Clinic/Center | 2450 Fire Mesa St Ste 100, Las Vegas, NV 89128-9001 | 2019-02-14 |
1760947717 | Advanced Orthopaedic Surgery Center, LLC | Clinic/Center | 7183 Advanced Way, Las Vegas, NV 89113-3624 | 2019-02-04 |
1821560434 | Sunset Pain Surgery Center | Clinic/Center | 9120 W Russell Rd Unit 100, Las Vegas, NV 89148-1229 | 2018-12-20 |
1215429030 | Medical and Dental Center of Nevada LLC | Clinic/Center | 4275 Burnham Ave Ste 101, Las Vegas, NV 89119-5400 | 2018-06-06 |
1083119085 | Comprehensive Digest Surgery Center LLC | Clinic/Center | 8440 W Warm Springs Rd, Las Vegas, NV 89113-3624 | 2018-03-29 |
1134635097 | Mivip Regional Surgery Center | Clinic/Center | 5950 S Durango Dr Ste 101, Las Vegas, NV 89113 | 2017-12-14 |
Find all providers in LAS VEGAS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.