Organization Active NPI

Medical Development Company of Nevada

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1053866434
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
8701-ASC-0 Issued in NV
Legal business name
MEDICAL DEVELOPMENT COMPANY OF NEVADA
Practice address
10195 W Twain Ave
Suite a
Las Vegas, NV 89147-6726
Phone
(727) 868-9563
Fax
(727) 869-6909
NPI assigned
Aug 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lisa D Hanshew
Title
Business Manager
Phone
(727) 868-9563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 8701-ASC-0 NV Primary

Addresses

Primary practice location

10195 W Twain Ave
Suite a
Las Vegas, NV 89147-6726

Mailing address

7315 Hudson Ave
Hudson, FL 34667-1158
Phone (727) 868-9563

National Provider Directory

National Provider Directory

Locations

7315 Hudson Ave
Hudson, FL 34667
Phone (727) 868-9563

10195 W Twain Ave
Ste A
Las Vegas, NV 89147
Phone (727) 868-9563

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1053866434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7315 HUDSON AVE",
            "city": "HUDSON",
            "state": "FL",
            "postal_code": "346671158",
            "telephone_number": "727-868-9563",
            "fax_number": "727-869-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10195 W TWAIN AVE",
            "address_2": "SUITE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476726",
            "telephone_number": "727-868-9563",
            "fax_number": "727-869-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DEVELOPMENT COMPANY OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "HANSHEW",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "727-868-9563",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NV",
            "license": "8701-ASC-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.