Individual provider Active NPI

Wesley R. Zimmerman, CST/CSFA

  • Surgical Assistant
  • Las Vegas, NV
National Provider Identifier
1477890572
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Practice address
2650 N Tenaya Way Ste 301
Nevada Orthopedic & Spine Center
Las Vegas, NV 89128-1112
Phone
(702) 878-0393
Fax
(702) 938-0137
NPI assigned
Jan 9, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X Primary

Addresses

Primary practice location

2650 N Tenaya Way Ste 301
Nevada Orthopedic & Spine Center
Las Vegas, NV 89128-1112

Mailing address

2650 N Tenaya Way Ste 301
Nevada Orthopedic & Spine Center
Las Vegas, NV 89128-1112
Phone (702) 878-0393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1477890572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 N TENAYA WAY STE 301",
            "address_2": "NEVADA ORTHOPEDIC & SPINE CENTER",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281112",
            "telephone_number": "702-878-0393",
            "fax_number": "702-938-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 N TENAYA WAY STE 301",
            "address_2": "NEVADA ORTHOPEDIC & SPINE CENTER",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891281112",
            "telephone_number": "702-878-0393",
            "fax_number": "702-938-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMERMAN",
        "first_name": "WESLEY",
        "middle_name": "R.",
        "credential": "CST/CSFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-09",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 9, 2013; 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.