Organization Active NPI

Surgical Anesthesia Services, LLP

  • Anesthesiology Physician
  • Las Vegas, NV
National Provider Identifier
1407807142
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SURGICAL ANESTHESIA SERVICES, LLP
Practice address
8440 W. Lake Mead Blvd.
Ste 202
Las Vegas, NV 89128-7648
Phone
(702) 395-1070
Fax
(702) 395-1071
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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

Authorized official

Name
Dr. Bruce T Burnett, M.D.
Title
Managing Partner
Phone
(702) 395-1070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

8440 W. Lake Mead Blvd.
Ste 202
Las Vegas, NV 89128-7648

Mailing address

PO Box 35891
Las Vegas, NV 89133-5891
Phone (702) 395-1070

Other identifiers 2

IdentifierTypeStateIssuer
DC5882OtherNVRRMCR
100506144MedicaidNV

National Provider Directory

National Provider Directory

Locations

8440 W Lake Mead Blvd
Ste 202
Las Vegas, NV 89128
Phone (702) 395-1070

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1407807142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35891",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335891",
            "telephone_number": "702-395-1070",
            "fax_number": "702-395-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8440 W. LAKE MEAD BLVD.",
            "address_2": "STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287648",
            "telephone_number": "702-395-1070",
            "fax_number": "702-395-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL ANESTHESIA SERVICES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "702-395-1070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR",
            "identifier": "DC5882",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506144",
            "state": "NV"
        }
    ],
    "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 Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.