Southern Nevada Surgery Specialists LTD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

SOUTHERN NEVADA SURGERY SPECIALISTS LTD

Practice address

10001 S Eastern Ave Ste 310
Henderson, NV 89052-3908

Phone

(702) 914-2420

Fax

(702) 914-6653

NPI assigned

Aug 1, 2007

Last updated

Mar 24, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Alison Kowalski

Title

Secretary

Phone

(702) 914-2420

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/5551/brand/1/csg/1/fhir/r4

Practitioners 19

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.

• Daniel Augusto Barrera, D.O.

  • Surgery Physician
  • Henderson, NV
  • NPI 1043693823
  Medicare reassignment Care Compare group NPD
• Dawn Marie Brown, D.O.

  • Surgery Physician
  • Henderson, NV
  • NPI 1023379112
  Medicare reassignment Care Compare group NPD
• Adan Rafael Castrodad-Caraballo, MD

  • Colon & Rectal Surgery Physician
  • Henderson, NV
  • NPI 1760914188
  Medicare reassignment Care Compare group NPD
• Sean D Dort, MD

  • Surgery Physician
  • Henderson, NV
  • NPI 1679551642
  Medicare reassignment Care Compare group NPD
• Ashlee Elizabeth Justice, MD

  • Surgery Physician
  • Henderson, NV
  • NPI 1679913388
  Medicare reassignment Care Compare group NPD
• Lyn A Knoblock, MD

  • Surgery Physician
  • Henderson, NV
  • NPI 1043290919
  Medicare reassignment Care Compare group NPD
• Fikre A. Mengistu, M.D.

  • Surgery Physician
  • Henderson, NV
  • NPI 1073812640
  Medicare reassignment Care Compare group NPD
• Yogesh K Patel, MD

  • Surgery Physician
  • Henderson, NV
  • NPI 1891999140
  Medicare reassignment Care Compare group NPD
• Robert Rakosi III, M.D.

  • Surgery Physician
  • Henderson, NV
  • NPI 1801234232

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Elizabeth Ann Santone, MD

  • Surgery Physician
  • Henderson, NV
  • NPI 1831621606
  Medicare reassignment Care Compare group NPD
• William H. Scott Jr., DO

  • Surgery Physician
  • Henderson, NV
  • NPI 1134399744
  Medicare reassignment Care Compare group NPD
• Charles B. Walton, MD

  • Surgery Physician
  • Henderson, NV
  • NPI 1407833395
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1669663910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 S EASTERN AVE STE 310",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523908",
            "telephone_number": "702-914-2420",
            "fax_number": "702-914-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 S EASTERN AVE STE 310",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523908",
            "telephone_number": "702-914-2420",
            "fax_number": "702-914-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEVADA SURGERY SPECIALISTS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-01",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "KOWALSKI",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "702-914-2420",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Valley Pediatric Center
• Shannon Southard
• Southern Hills Medical Center, LLC (ER at Inspirada, a department of Southern Hills Hospital and Medical Center)
• Southern Nevada Bariatrics Mustafa Ahmed MD Facs PLLC (Southern Nevada Bariatrics)
• Southern Nevada Mobile Chaplains
• Southwest Integrated Care Services, LLC
• Isabella Fay Souza, PA
• Sozo Family Services Inc.
• Natalie Spalding, LCSW
• Spanish Mustang, LLC

• Surgery Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Surgery Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.