Active NPI
SNV Care of NV II, LLC
- Orthopaedic Surgery of the Spine Physician
- Las Vegas, NV
National Provider Identifier
1073075784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- Legal business name
- SNV CARE OF NV II, LLC
- Practice address
- 5550 Painted Mirage Rd Ste 320-A211
Las Vegas, NV 89149-4581 - Phone
- (615) 386-0064
- NPI assigned
- Apr 2, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Leland Hutton Eadie
- Title
- Director
- Phone
- (615) 733-2064
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | |||
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | Primary |
Addresses
Primary practice location
5550 Painted Mirage Rd Ste 320-A211
Las Vegas, NV 89149-4581
Mailing address
102 Woodmont Blvd Ste 350
Nashville, TN 37205-2216
Phone (615) 386-0064
National Provider Directory
National Provider DirectoryLocations
5550 Painted Mirage Rd
Ste 320A211
Las Vegas, NV 89149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554163200000",
"number": "1073075784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 350",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372052216",
"telephone_number": "615-386-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5550 PAINTED MIRAGE RD STE 320-A211",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891494581",
"telephone_number": "615-386-0064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SNV CARE OF NV II, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-02",
"last_updated": "2019-04-02",
"status": "A",
"authorized_official_last_name": "EADIE",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "LELAND HUTTON",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "615-733-2064"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": null,
"license": null,
"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 Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.