NPIMap

Organization Active NPI

Nevada Anesthesia Consultants LLP

  • Anesthesiology Physician
  • Henderson, NV
National Provider Identifier
1679625453
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
6082 Issued in NV
Legal business name
NEVADA ANESTHESIA CONSULTANTS LLP
Practice address
2501 Green Valley Parkway
Suite 112D
Henderson, NV 89014
Phone
(702) 457-6510
Fax
(702) 487-6510
NPI assigned
Jan 18, 2007
Last updated
Aug 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Authorized official

Name
Dr. David M Ross, MDNPI 1417954926
Title
Managing Partner
Phone
(702) 487-6510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NV
Anesthesiology Physician 207L00000X NU
Anesthesiology Physician 207L00000X 6082 NV Primary

Addresses

Primary practice location

2501 Green Valley Parkway
Suite 112D
Henderson, NV 89014

Mailing address

2501 Green Valley Parkway
Suite 112D
Henderson, NV 89014
Phone (702) 457-6510

Other identifiers 1

IdentifierTypeStateIssuer
100502202MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031120000163 NV Part B Supplier - Clinic/Group Practice 6608770987 Receives reassigned benefits from 8 practitioners
Practice locations: Henderson, NV

National Provider Directory

National Provider Directory

Locations

2320 Paseo del Prado
Ste B207
Las Vegas, NV 89102
Phone (702) 873-4567

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1679625453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 GREEN VALLEY PARKWAY",
            "address_2": "SUITE 112D",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89014",
            "telephone_number": "702-457-6510",
            "fax_number": "702-405-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 GREEN VALLEY PARKWAY",
            "address_2": "SUITE 112D",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89014",
            "telephone_number": "702-457-6510",
            "fax_number": "702-487-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA ANESTHESIA CONSULTANTS LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "702-487-6510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "6082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100502202",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.