Platinum Surgical Assistants of Las Vegas

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

171630 Issued in NV

Legal business name

PLATINUM SURGICAL ASSISTANTS OF LAS VEGAS

Practice address

4140 Inglewood Point St
North Las Vegas, NV 89032-1147

Phone

(702) 325-8928

NPI assigned

Jan 18, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Vern Vontrice Palmer, CSFA

Title

Ceo

Phone

(702) 325-8928

Specialties & licenses 7

Addresses

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1750827580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 INGLEWOOD POINT ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890321147",
            "telephone_number": "702-325-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 INGLEWOOD POINT ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890321147",
            "telephone_number": "702-325-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM SURGICAL ASSISTANTS OF LAS VEGAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "VERN",
        "authorized_official_middle_name": "VONTRICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-325-8928",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CSFA"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ophthalmic Assistant",
            "state": "NV",
            "license": "171630",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": "171630",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NV",
            "license": "171630",
            "primary": true
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "NV",
            "license": "171630",
            "primary": false
        },
        {
            "code": "246ZX2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Orthopedic Assistant",
            "state": "NV",
            "license": "171630",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Platinum Surgical Assosiates
• Maelaurece Christine Plaza-Cross, FNP-BC
• Kristoffer Capalad Plaza, PTA, CLT
• Amay Plivera
• Zachary Ploeger, PHARMD

• Surgical Assistant in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Surgical Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.