Organization Active NPI

Cimarron Surgery Center Sorelle PLLC

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1619439379
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CIMARRON SURGERY CENTER SORELLE PLLC
Practice address
6940 S Cimarron Rd Ste 150
Las Vegas, NV 89113-2135
Phone
(702) 982-3555
Fax
(866) 787-4371
NPI assigned
Apr 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Authorized official

Name
Jonathan R Sorelle, MD
Title
President
Phone
(702) 739-4263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

6940 S Cimarron Rd Ste 150
Las Vegas, NV 89113-2135

Mailing address

PO Box 27051
Salt Lake City, UT 84127-0051
Phone (702) 982-3555

National Provider Directory

National Provider Directory

Locations

6920 S Cimarron Rd
Ste 150
Las Vegas, NV 89113

6940 S Cimarron Rd
Ste 150
Las Vegas, NV 89113
Phone (702) 982-3555

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623110400000",
    "number": "1619439379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27051",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270051",
            "telephone_number": "702-982-3555",
            "fax_number": "866-787-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6940 S CIMARRON RD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132135",
            "telephone_number": "702-982-3555",
            "fax_number": "866-787-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIMARRON SURGERY CENTER SORELLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-02",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "SORELLE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-739-4263",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "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 Jun 8, 2021; 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.