Active NPI
Surgical Advisors Inc
- Orthopaedic Surgery Physician
- Las Vegas, NV
National Provider Identifier
1154610988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- SURGICAL ADVISORS INC
- Practice address
- 501 S Rancho Dr
Suite I-67
Las Vegas, NV 89106-4828 - Phone
- (702) 243-4700
- Fax
- (702) 243-7074
- NPI assigned
- Apr 1, 2011
- 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
- Mary A Shannon, M.D.
- Title
- Physician Owner
- Phone
- (702) 243-4700
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | NV | Primary | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | |||
| Orthopaedic Hand Surgery Physician | 207XS0106X | |||
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | |||
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | |||
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | |||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X |
Addresses
Primary practice location
501 S Rancho Dr
Suite I-67
Las Vegas, NV 89106-4828
Mailing address
501 S Rancho Dr
Suite I-67
Las Vegas, NV 89106-4828
Phone (702) 243-4700
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301616000000",
"number": "1154610988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 S RANCHO DR",
"address_2": "SUITE I-67",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064828",
"telephone_number": "702-243-4700",
"fax_number": "702-243-7074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S RANCHO DR",
"address_2": "SUITE I-67",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064828",
"telephone_number": "702-243-4700",
"fax_number": "702-243-7074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL ADVISORS INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-01",
"last_updated": "2011-04-01",
"status": "A",
"authorized_official_last_name": "SHANNON",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PHYSICIAN OWNER",
"authorized_official_telephone_number": "702-243-4700",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "NV",
"license": null,
"primary": true
},
{
"code": "207XP3100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Adult Reconstructive 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": false
},
{
"code": "207XX0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"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 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.