Henderson Ambulatory Surgery Center for Minimally Invasive Procedures

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

HENDERSON AMBULATORY SURGERY CENTER FOR MINIMALLY INVASIVE PROCEDURES

Practice address

9120 W Russell Rd Ste 100
Las Vegas, NV 89148-1229

Phone

(702) 476-9700

NPI assigned

Feb 7, 2023

Organization subpart

No

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

Authorized official

Name

Neville F Campbell, MDNPI 1487881249

Title

Medical Director/Ceo

Phone

(702) 781-8648

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Ambulatory surgical center certification: CCN 29C0001140

Legal name

HENDERSON AMBULATORY SURGERY CENTER FOR MINIMALLY INVASIVE PROCEDURES

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Sep 10, 2024

Last certification

Sep 10, 2024

Ownership / control type

Proprietary

Facility address

9120 W Russell Rd
Las Vegas, NV 89148

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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

• Cyrus Omid Abbasi, MD, PHD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Las Vegas, NV
  • NPI 1184112526
  Medicare reassignment NPD
• Neville F Campbell, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1487881249
  NPD Authorized official

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1659077956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661119",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752661119",
            "telephone_number": "702-781-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9120 W RUSSELL RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481229",
            "telephone_number": "702-476-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON AMBULATORY SURGERY CENTER FOR MINIMALLY INVASIVE PROCEDURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "NEVILLE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/CEO",
        "authorized_official_telephone_number": "702-781-8648",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Henard
• Alexandra Mary Hencken, PA-C
• Henco Incorporated L.L.C
• Hendershot Foot & Ankle Clinic, LLC
• Blair Hendershot, DPM
• Henderson CVS LLC
• Henderson Family Services LLC
• Henderson Mental Health LLC
• Henderson Speech Hearing and Language Center LLC
• Henderson Speech, Hearing & Language Center, LLC

• 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 Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.