NPIMap

Organization Active NPI

Las Vegas Neurosurgery Orthopaedics and Rehabilitation LLP

  • Orthopaedic Surgery of the Spine Physician
  • Las Vegas, NV
National Provider Identifier
1407811417
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
LAS VEGAS NEUROSURGERY ORTHOPAEDICS AND REHABILITATION LLP
Practice address
501 S Rancho Dr
Suite I67
Las Vegas, NV 89106-4862
Phone
(702) 243-4700
Fax
(702) 243-7074
NPI assigned
Apr 20, 2006
Last updated
Jan 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Ms. Arleen H Ferraris
Title
Credentialing Coordinator
Phone
(702) 243-4700

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Neurological Surgery Physician 207T00000X
Orthopaedic Surgery Physician 207X00000X
Orthopaedic Surgery of the Spine Physician 207XS0117X Primary
Physical Medicine & Rehabilitation Physician 208100000X

Addresses

Primary practice location

501 S Rancho Dr
Suite I67
Las Vegas, NV 89106-4862

Mailing address

501 S Rancho Dr
Suite I67
Las Vegas, NV 89106-4862
Phone (702) 243-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040803001307 NV Part B Supplier - Clinic/Group Practice 2860463825 Receives reassigned benefits from 7 practitioners
Practice locations: Las Vegas, NV
O20050607000880 UT Part B Supplier - Clinic/Group Practice 2860463825 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar City, UT

National Provider Directory

National Provider Directory

Locations

150 Bruce Woodbury Dr
Laughlin, NV 89029
Phone (702) 243-4700

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1407811417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S RANCHO DR",
            "address_2": "SUITE I67",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064862",
            "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 I67",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064862",
            "telephone_number": "702-243-4700",
            "fax_number": "702-243-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS NEUROSURGERY ORTHOPAEDICS AND REHABILITATION LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "FERRARIS",
        "authorized_official_first_name": "ARLEEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "702-243-4700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_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 Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.