Spring Valley Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

NV20011105262 Issued in NV

Legal business name

SPRING VALLEY SURGERY CENTER, LLC

Practice address

3835 S. Jones Blvd
Suite 103
Las Vegas, NV 89103-2283

Phone

(702) 227-4440

Fax

(702) 227-4386

NPI assigned

Dec 11, 2006

Last updated

Apr 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Godwin O Maduka, M.D., PHARMDNPI 1548363583

Title

Medical Director

Phone

(702) 880-4193

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV5 enrollments

Enrollment records 5

Listed as

Spring Valley Surgery Center LLCCCN 29C0001056

Medicare certification status

ActiveFrom the Provider of Services file

Listed as

Spring Valley Surgery Center LLCCCN 29C0001079

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 33

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.

• Godwin O Maduka, MD, PHARMD

  • Interventional Pain Medicine Physician
  • Las Vegas, NV
  • NPI 1548363583
  Medicare reassignment Authorized official
• Neville F Campbell, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1487881249
  Medicare reassignment NPD
• Shaan Jaggi, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1023465986
  Medicare reassignment
• Okwuchukwu Ginika Obi, MD

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1285044495
  Medicare reassignment
• Braden Woodhouse Jex, D.O.

  • Interventional Pain Medicine Physician
  • Vineyard, UT
  • NPI 1639531650

  NV

  Medicare reassignment
• Cyrus Omid Abbasi, MD, PHD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Las Vegas, NV
  • NPI 1184112526
  NPD
• Joy Rose Salvador Alagar, APRN

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1972382059
  NPD
• Edenlita Pangilinan Antolin

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1609681659
  NPD
• Emily Darnell, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1205442464
  NPD
• Olufunke Elizabeth Fadahunsi

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1548959075
  NPD
• Lani Cruz Gelera, PT

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1659079598
  NPD
• Feryal Hemmati

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1912740358
  NPD

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1154481984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30550",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891730550",
            "telephone_number": "702-227-4440",
            "fax_number": "702-227-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 S. JONES BLVD",
            "address_2": "SUITE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032283",
            "telephone_number": "702-227-4440",
            "fax_number": "702-227-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING VALLEY SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "MADUKA",
        "authorized_official_first_name": "GODWIN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "702-880-4193",
        "authorized_official_credential": "M.D., PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NV",
            "license": "2000003 426",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NV",
            "license": "NV20011105262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500333",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spring Valley Medical Center (ER at Blue Diamond)
• Spring Valley Medical Center (Spring Mountain Sahara)
• Spring Valley Medical Center (Valley Health Specialty Hospital)
• Spring Valley Nielson PDC PLLC (Healthy Smiles Dental Las Vegas)
• Spring Valley Pharmacy
• Spring Valley Wellness Care Inc
• Amanda Lee Spring
• Arrianna Spring
• Springcare Community Development Corporation (SpringCare CDC)
• Springcare Home Health LLC

• Ambulatory Surgical Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Ambulatory Surgical Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.