PHYSICIAN ASSISTANT SURGICAL SPECIALISTS (NPI# 1093046963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093046963 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN ASSISTANT SURGICAL SPECIALISTS |
| Practice Address |
8979 Haviland Rd Las Vegas NV 89123-0617 |
| Practice Telephone | 7026144178 |
| Practice Fax Number | 7026144179 |
| Mailing Telephone | 7026144178 |
| Mailing Fax Number | 7026144179 |
| Enumeration Date | 2010-01-16 |
| Last Update Date | 2010-01-16 |
| Authorized Official Name | MR. HENRY JAMES VAN VLEET (PHYSICIAN ASSISTANT) |
| Authorized Official Telephone | 7026144178 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8979 HAVILAND RD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89123-0617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894096 | Jpn Holdings Corp | Home Health Aide | 8275 S Eastern Ave Ste 246, Las Vegas, NV 89123 | 2020-09-03 |
| 1104463488 | Rafaat Yousif Rafael | Technician | 8365 Montgomery St, Las Vegas, NV 89123 | 2019-12-05 |
| 1386287357 | Nadhc At Eastern, Inc | Respite Care | 8695 Eastern Ave., Las Vegas, NV 89123 | 2019-10-23 |
| 1619523677 | Nadhc At Eastern, Inc | Clinic/Center | 8695 S. Eastern Ave., Las Vegas, NV 89123 | 2019-08-15 |
| 1437714995 | Vladimir Jose Pedraza | Technician | 8330 Collado St, Las Vegas, NV 89123 | 2019-05-09 |
| 1174026017 | Jenni Das | Behavior Technician | 62 E Serene Ave Unit 129, Las Vegas, NV 89123 | 2018-03-16 |
| 1134621717 | Catherine Domingo Leanu | Technician | 9490 Bermuda Road, Apt 1121, Las Vegas, NV 89123 | 2018-02-28 |
| 1801397583 | Titus Aldea | Technician | 8419 Yamhill St, Las Vegas, NV 89123 | 2018-02-27 |
| 1699291997 | Angel's Touch Home Care LLC | In Home Supportive Care | 8382 Marcasel Dr, Las Vegas, NV 89123 | 2017-08-17 |
| 1427578152 | Adrianna Jones | Rehabilitation Practitioner | 1901 S. Jones Blvd., Las Vegas, NV 89123 | 2017-06-23 |
| Find all providers in zip 89123 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453186 | High Cotton LLC | Physician Assistant | 7995 Blue Diamond Rd Ste 102-356, Las Vegas, NV 89178-9301 | 2020-10-06 |
| 1427591759 | Eduardo Delatorre | Physician Assistant | 7978 Coronado Coast St, Las Vegas, NV 89139-6192 | 2016-11-17 |
| 1992130181 | Jason Michael Hall | Physician Assistant | 7385 S Pecos Rd Ste 101, Las Vegas, NV 89120-3768 | 2013-09-06 |
| 1790024164 | Rachelle L Kidd | Physician Assistant | 9162 Ballineen Ct, Las Vegas, NV 89148-4946 | 2013-02-05 |
| 1104162643 | David J Barth P.C. | Physician Assistant | 5455 S Fort Apache Rd Ste 108-9, Las Vegas, NV 89148-6408 | 2013-01-02 |
| 1184977555 | Luke V. Desjarlais, Pllc | Physician Assistant | 9035 Westchester Hill Ave, Las Vegas, NV 89148-4926 | 2012-10-22 |
| 1598023954 | Ronald Lavor Moon | Physician Assistant | 9806 Red Deer St, Las Vegas, NV 89143 | 2012-04-23 |
| 1720319890 | Tiffany Ann Teepen | Physician Assistant | 8420 W Warm Springs Rd # 100, Las Vegas, NV 89113-3624 | 2010-01-28 |
| 1578745667 | Jonna Erin Dewaal | Physician Assistant | 3308 Crystal Tower St, Las Vegas, NV 89129-8141 | 2007-11-29 |
| 1003001025 | Maria Bass | Physician Assistant | 9499 W Charleston, #200 Ossm, Las Vegas, NV 89117 | 2007-09-12 |
| 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.