Walant ASC LLC

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

Legal business name

WALANT ASC LLC

Practice address

8585 S Eastern Ave
Las Vegas, NV 89123-2817

Phone

(702) 798-8585

NPI assigned

Jun 10, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Alan Jordan Micev, MDNPI 1215248349

Title

Manager

Phone

(702) 798-8585

Specialties & licenses 1

Addresses

Other names 1

• Wide Awake Center for Surgery Doing business as

Locations

Practitioners 3

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

• Alan Jordan Micev, M.D.

  • Orthopaedic Hand Surgery Physician
  • Las Vegas, NV
  • NPI 1215248349
  NPD Authorized official
• Ashleigh Chase Mangrum, PA-C

  • Physician Assistant
  • Las Vegas, NV
  • NPI 1609487933
  NPD
• George Scott Gluck, M.D.

  • Orthopaedic Hand Surgery Physician
  • Las Vegas, NV
  • NPI 1316168289
  NPD (past)

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1063254084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8585 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232817",
            "telephone_number": "702-798-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891232817",
            "telephone_number": "702-798-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALANT ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "MICEV",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-798-8585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wide Awake Center for Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wal-Mart Stores, Inc
• Wal-Mart Stores, Inc
• Wal-Mart Stores, Inc
• Wal-Mart Stores, Inc
• Wal-Mart Stores, Inc.
• Soheila Walcott
• Douglas Wald
• Mark Waldemar
• Alexis Walden
• Ana Liza Walden

• Orthopaedic Hand Surgery Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Orthopaedic Hand Surgery Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.