SOUTHERN NEVADA SURGERY SPECIALISTS LTD (NPI# 1669663910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669663910 |
| Entity Type | Organization |
| Organization Name | SOUTHERN NEVADA SURGERY SPECIALISTS LTD |
| Practice Address |
10001 S Eastern Ave Ste 201 Henderson NV 89052-3908 |
| Practice Telephone | 7029142420 |
| Practice Fax Number | 7029146653 |
| Mailing Telephone | 7029142420 |
| Mailing Fax Number | 7029146653 |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2019-01-10 |
| Authorized Official Name | MS. ALISON KOWALSKI (SECRETARY) |
| Authorized Official Telephone | 7029142420 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
10001 S EASTERN AVE STE 201 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407833395 | Charles B. Walton | Surgery | 10001 S Eastern Ave Ste 201, Henderson, NV 89052-3908 | 2005-12-30 |
| 1679913388 | Ashlee Elizabeth Justice | Surgery | 10001 S Eastern Ave Ste 201, Henderson, NV 89052-3908 | 2013-06-26 |
| 1073812640 | Fikre A. Mengistu | Surgery | 10001 S Eastern Ave Ste 201, Henderson, NV 89052 | 2011-03-22 |
| 1750510855 | Laurel J Blair | Surgery | 10001 S Eastern Ave Ste 201, Henderson, NV 89052-3908 | 2009-07-09 |
| 1770553760 | Gregg M Ripplinger | Surgery | 10001 S Eastern Ave Ste 201, Henderson, NV 89052 | 2006-01-24 |
| 1043290919 | Lyn A Knoblock | Surgery | 10001 S Eastern Ave Ste 201, Henderson, NV 89052-3908 | 2006-01-18 |
| 1679551642 | Sean D Dort | Surgery | 10001 S Eastern Ave Ste 201, Henderson, NV 89052 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215568373 | Nitin J. Engineer Md Plastic Surgery Pllc | Surgery | 2821 W Horizon Ridge Pkwy Ste 130, Henderson, NV 89052-4429 | 2020-01-28 |
| 1609288752 | Amber N Koon | Surgery | 1413 N Elm St Ste 204, Henderson, KY 42420-2773 | 2014-05-23 |
| 1003166877 | Hon Kei Poon Md Facs PC | Surgery | 2008 Colvin Run Dr, Henderson, NV 89052-6987 | 2012-09-19 |
| 1891081014 | Chanukya Reddy Dasari | Surgery | 710 Coronado Center Dr Ste 200, Henderson, NV 89052-4291 | 2011-06-27 |
| 1649407347 | Christopher R Costa | Surgery | 870 Seven Hills Dr Ste 101, Henderson, NV 89052 | 2009-06-19 |
| 1912110677 | General Surgical Consultants LLC | Surgery | 10001 S Eastern Ave Ste 206, Henderson, NV 89052-3908 | 2007-05-08 |
| 1053535377 | Joel I. Davidson | Surgery | 1550 Tuscano Ct, Henderson, NV 89052-4142 | 2007-04-11 |
| 1881723757 | Melvin Mayer | Surgery | 2610 W Horizon Ridge Pkwy Ste 203, Henderson, NV 89052-2870 | 2007-03-05 |
| 1780787010 | Josette E Spotts | Surgery | 1485 W Warm Springs Rd Ste 105, Henderson, NV 89014 | 2006-09-05 |
| 1982711628 | Timothy W Tollestrup | Surgery | 3035 W Horizon Ridge Pkwy Ste 120, Henderson, NV 89052-4189 | 2006-08-25 |
| Find all providers in HENDERSON | ||||
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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.