Box Canyon Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BOX CANYON SURGERY CENTER LLC

Practice address

2555 Box Canyon Dr
Las Vegas, NV 89128

Phone

(702) 733-2020

Fax

(702) 734-8748

NPI assigned

Aug 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kent L Wellish, M.D.NPI 1952358426

Title

President

Phone

(702) 733-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Listed as

Box Canyon Surgery Center LLCCCN 29C0001074

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

Practitioners 5

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

• Kent L Wellish, M.D.

  • Ophthalmology Physician
  • Las Vegas, NV
  • NPI 1952358426
  NPD (past) Authorized official
• Jack Ebrahimpour Abrams, M.D.

  • Specialist
  • Las Vegas, NV
  • NPI 1780684571
  NPD (past)
• Tigran Kostanyan, M.D.

  • Ophthalmology Physician
  • Las Vegas, NV
  • NPI 1164800827
  NPD (past)
• Tapan R Shah, MD

  • Ophthalmology Physician
  • Las Vegas, NV
  • NPI 1508820200
  NPD (past)
• Andrew Tran, M.D., M.B.A.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Las Vegas, NV
  • NPI 1841726106
  NPD (past)

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1306093604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 E FLAMINGO RD",
            "address_2": "SUITE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195190",
            "telephone_number": "702-733-2020",
            "fax_number": "702-734-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 BOX CANYON DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89128",
            "telephone_number": "702-733-2020",
            "fax_number": "702-734-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOX CANYON SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "WELLISH",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-733-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Ann Bowser
• Rochelle A Bowser
• Tavia Bowser
• Desiree Bowsher, M.A., LMFT
• Jullian Desuzzahn Bowsky
• Blake Box
• Jonathan C Box, PHARMD
• Jamaal Boxley
• Shane Michael Boxrz, FNP
• Boyack & Associates Inc

• 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 Aug 19, 2008; 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.