Coppel Surgical Solutions

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

8322ASC-0 Issued in NV

Legal business name

COPPEL SURGICAL SOLUTIONS

Doing business as

Nevada Surgical Suites

Practice address

1569 E Flamingo Rd
Las Vegas, NV 89119-5321

Phone

(702) 476-1800

Fax

(702) 476-9500

NPI assigned

Feb 23, 2016

Last updated

Jan 4, 2024By 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

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 NV2 enrollments

Enrollment records 2

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

  dba Nevada Surgical Suites

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1225440969

  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

  dba Nevada Surgical Suites

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
  • NPI 1225440969

  O20141022002108

  Same enrollment

Listed as

Coppel Surgical Solutions Dba Nevada Surgical Suites EastCCN 29C0001114

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 1

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.

• Alain Coppel, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1316057573
  NPD (past)

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1386004018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2809 W CHARLESTON BLVD",
            "address_2": "STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021998",
            "telephone_number": "702-476-1800",
            "fax_number": "702-476-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1569 E FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195321",
            "telephone_number": "702-476-1800",
            "fax_number": "702-476-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPEL SURGICAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "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": "8322ASC-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Surgical Suites",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bethany Coppa
• Jaafah Rashad Coppedge, BA
• Malika Coppedge, APRN
• Coppel Medical Enterprise LLC (Nevada Comprehensive PainCenter)
• Coppel Surgical Solutions (Nevada Surgical Suites)
• Coppel Surgical Solutions (Nevada Surgical Suites)
• Alain Coppel, M.D.
• Heather Coppinger
• Kathleen Coppock-Webb, LSW, CSW INTERN
• Marianne Coppola

• 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.