SPINE CIN OF LAS VEGAS LLC


Address: 5550 Painted Mirage Rd Ste 320-a38, Las Vegas, NV 89149-4581
Phone: 6153860064

SPINE CIN OF LAS VEGAS LLC (NPI# 1033618970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033618970
Entity Type Organization
Organization Name SPINE CIN OF LAS VEGAS LLC
Practice Address 5550 Painted Mirage Rd Ste 320-a38
Las Vegas
NV 89149-4581
Mailing Address 102 Woodmont Blvd Ste 350
Nashville
TN 37205-2216
Practice Telephone 6153860064
Practice Fax Number 6153860067
Mailing Telephone 6153860064
Mailing Fax Number 6153860067
Enumeration Date 2018-02-06
Last Update Date 2018-02-06
Authorized Official Name EDWARD LELAND HUTTON EADIE (DIRECTOR)
Authorized Official Telephone 6157332064
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207XS0117X Orthopaedic Surgery
Specialization: Orthopaedic Surgery of the Spine
NV Allopathic & Osteopathic Physicians
Y 207X00000X Orthopaedic Surgery NV Allopathic & Osteopathic Physicians

Office Location

Street Address 5550 PAINTED MIRAGE RD STE 320-A38
City LAS VEGAS
State NV
Zip Code 89149-4581

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144782947 Cnv Care of Nv II, LLC Internal Medicine 5550 Painted Mirage Rd Ste 320-a38, Las Vegas, NV 89149-4581 2019-04-02
1073075776 Cnv Care of Nv, LLC Internal Medicine 5550 Painted Mirage Rd Ste 320-a38, Las Vegas, NV 89149-4581 2019-04-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1285292052 Dianne Pana Physical Therapist 351 N Fort Apache Rd, Las Vegas, NV 89149 2019-06-05
1477118198 Cece Group Home, LLC Community Based Residential Treatment Facility, Mental Illness 5417 Ireland St, Las Vegas, NV 89149 2019-05-08
1790242543 Carl Anthony Llanos Plaza Nurse Practitioner 6440 W Centennial Pkwy, Unit 155, Las Vegas, NV 89149 2019-02-28
1932664158 Lychee Holdings, LLC Skilled Nursing Facility 8565 W Rome Blvd, Las Vegas, NV 89149 2019-02-01
1366976276 Pam Squared At Las Vegas, LLC Rehabilitation Hospital 6166 North Durango Drive, Las Vegas, NV 89149 2017-04-18
1083076269 Kristopher Kevin Kleinman Registered Nurse 5550 Painted Mirage Rd Ste 217, Las Vegas, NV 89149 2016-03-25
1326428962 Kimberly Vialpando Physical Therapist 6351 N. Forte Apache Road, Las Vegas, NV 89149 2015-06-08
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Taxonomy Information

Taxonomy Code 207X00000X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery

Taxonomy Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578804787 Bruce Mcneil Ballard Orthopaedic Surgery 2716 Port of Call Dr, Las Vegas, NV 89128-7151 2013-03-13
1366604290 Daniel T Kokmeyer Orthopaedic Surgery 9321 W. Sunset Rd., Las Vegas, NV 89148 2008-07-01
1811178114 Hugh S Selznick Md Pa Orthopaedic Surgery 3006 So Maryland Parkway, 570, Las Vegas, NV 89109 2007-11-15
1386834570 Vladimir Aleksandrovich Sinkov Orthopaedic Surgery 1627 E Windmill Ln Ste 100, Las Vegas, NV 89123-1911 2007-07-25
1215141072 Richard Michael Dix Orthopaedic Surgery 2080 East Flamingo Rd, Suite 301, Las Vegas, NV 89119 2007-05-10
1225175524 Brian James Carr Orthopaedic Surgery 9499 W Charleston Blvd Ste 200, Las Vegas, NV 89117 2007-01-30
1972694230 David Arthur Kaplan Orthopaedic Surgery 4960 N Cimarron Rd, Las Vegas, NV 89149-4752 2006-09-28
1689784852 Andrew M. Cash Orthopaedic Surgery 9339 W Sunset Rd, Ste 100, Las Vegas, NV 89148-4847 2006-08-30
1750311957 Robert Wayne Patti Orthopaedic Surgery 2080 E Flamingo, #301, Las Vegas, NV 89119 2006-07-03
1841229762 Orthopaedic Specialists of Nevada Orthopaedic Surgery 3233 W. Charleston Blvd, Suite 101, Las Vegas, NV 89102 2006-07-02
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City LAS VEGAS
Zip Code 89149

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Dataset Information

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.

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