East Russell Surgery Partners LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EAST RUSSELL SURGERY PARTNERS LLC

Doing business as

Centennial Surgery Center

Practice address

4050 E Russell Rd
Las Vegas, NV 89120-3808

Phone

(702) 884-4444

NPI assigned

Jun 2, 2025

Last updated

Jan 26, 2026By 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

Dr. David Lanzkowsky, MDNPI 1154427375

Title

Medical Director/Owner

Phone

(702) 340-1244

Specialties & licenses 1

Addresses

Other names 1

• Centennial Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770476376. Details of each certification follow.

• CCN 29C0001152 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 29C0001152

Legal name

Centennial Surgery Center

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jan 8, 2026

Last certification

Jan 8, 2026

Facility address

4050 E. Russell Rd Suite 200
Las Vegas, NV 89120

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 1

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.

• David R Lanzkowsky

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1154427375
  NPD (past) Authorized official

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769385600000",
    "number": "1770476376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4454 N DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891305286",
            "telephone_number": "702-340-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 E RUSSELL RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203808",
            "telephone_number": "702-884-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST RUSSELL SURGERY PARTNERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-02",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A",
        "authorized_official_last_name": "LANZKOWSKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "702-340-1244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centennial Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aminah Ali Eason
• Daryl Eason
• Octavia Eason
• East Charelston Pain Clinic and Medical Center
• East Charleston Mental Health Clinc and Counseling
• East Russell Surgery Partners, LLC
• East Valley Dental
• East Valley Family Services
• Easter Seals Nevada
• Easter Seals Southern Nevada

• 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 Jan 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.