NPIMap

Organization Active NPI

Agata-Venger Partnership

Doing business as Western Regional Center for Brain and Spine Surgery

  • Neurological Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1093772204
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
AGATA-VENGER PARTNERSHIP
Doing business as
Western Regional Center for Brain and Spine Surgery
Practice address
3061 S. Maryland Parkway
Suite #200
Las Vegas, NV 89109-6227
Phone
(702) 737-1948
Fax
(702) 735-0742
NPI assigned
May 1, 2006
Last updated
Jul 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2012

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

Authorized official

Name
Debra Harper
Title
Practice Administrator
Phone
(702) 737-1948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NV Primary

Addresses

Primary practice location

3061 S. Maryland Parkway
Suite #200
Las Vegas, NV 89109-6227

Mailing address

3061 S. Maryland Parkway
Suite #200
Las Vegas, NV 89109-6227
Phone (702) 737-1948

Other identifiers 4

IdentifierTypeStateIssuer
DE5316OtherUTRAILROAD MEDICARE
CI5556OtherNVRAILROAD MEDICARE
DB1501OtherAZRAILROAD MEDICARE
VWJBHWOtherNVPALMETTO J1

Other names 1

  • WESTERN REGIONAL CENTER FOR BRAIN AND SPINE SURGERY Doing business as

National Provider Directory

National Provider Directory

Locations

1225 Hancock Rd
Bullhead City, AZ 86442
Phone (520) 758-0105

2767 Silver Creek Rd
Bullhead City, AZ 86442
Phone (928) 704-6741

3636 N Stockton Hill Rd
Ste C
Kingman, AZ 86409

2279 W Horizon RDG Pkwy Ste 200
Western Regional Ctr for Brain and Spine Surgery
Henderson, NV 89052

3061 S Maryland Pkwy
Ste 2
Las Vegas, NV 89109

3150 N Tenaya Way
Ste 340
Las Vegas, NV 89128
Phone (702) 562-5619

1404 W Sun River Pkwy
St George, UT 84790

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1093772204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 S. MARYLAND PARKWAY",
            "address_2": "SUITE #200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891096227",
            "telephone_number": "702-737-1948",
            "fax_number": "702-735-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3061 S. MARYLAND PARKWAY",
            "address_2": "SUITE #200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891096227",
            "telephone_number": "702-737-1948",
            "fax_number": "702-735-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGATA-VENGER PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "702-737-1948"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE5316",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI5556",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB1501",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO J1",
            "identifier": "VWJBHW",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WESTERN REGIONAL CENTER FOR BRAIN AND SPINE SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 23, 2012; 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.