Coppel Surgical Solutions

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

COPPEL SURGICAL SOLUTIONS

Practice address

2809 W Charleston Blvd Ste 100
Las Vegas, NV 89102-1998

Phone

(702) 476-9999

NPI assigned

May 29, 2014

Organization subpart

No

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

Authorized official

Name

Jennifer Boyd Baldock

Title

Officer and Authorized Official

Phone

(615) 234-5954

Specialties & licenses 1

Addresses

Other names 1

• Nevada Surgical Suites Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Coppel Surgical Solutions

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1386004018

  0648491373

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Coppel Surgical Solutions

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1386004018

  O20141022002108

  Same enrollment

Listed as

Nevada Surgical SuitesCCN 29C0001107

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

Tax ID family

Coppel Surgical Solutions2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coppel Surgical Solutions

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1689384356
  NPD tax ID

Locations

Practitioners 3

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

• Grant Miki Karno, M.D.

  • Pain Medicine Physician
  • Las Vegas, NV
  • NPI 1124462056
  NPD (past)
• Kunal R Parikh, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Las Vegas, NV
  • NPI 1639313802
  NPD (past)
• Allison Quinn Zieglmeier, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1760979819
  NPD (past)

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1225440969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 W CHARLESTON BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021998",
            "telephone_number": "702-476-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809 W CHARLESTON BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021998",
            "telephone_number": "702-476-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPEL SURGICAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "BALDOCK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "615-234-5954"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Surgical Suites",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beverly Coplin, RN
• Bethany Coppa
• Jaafah Rashad Coppedge, BA
• Malika Coppedge, APRN
• Coppel Medical Enterprise LLC
• Coppel Surgical Solutions
• Coppel Surgical Solutions
• Alain Coppel, M.D.
• Heather Coppinger
• Kathleen Coppock-Webb, LSW, CSW INTERN

• 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 Jan 4, 2024; 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.