Platinum Surgical Assosiates

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

171630 Issued in NV

Legal business name

PLATINUM SURGICAL ASSOSIATES

Practice address

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

Phone

(702) 361-8571

NPI assigned

Jan 3, 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 3

Addresses

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1780129577",
    "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"
        },
        {
            "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": "702-361-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM SURGICAL ASSOSIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "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": "211D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant, Podiatric",
            "state": "NV",
            "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": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NV",
            "license": "171630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jorge O Plasencia Miranda
• Platinum Surgical Assistants of Las Vegas
• Maelaurece Christine Plaza-Cross, FNP-BC
• Kristoffer Capalad Plaza, PTA, CLT
• Amay Plivera
• Zachary Ploeger, PHARMD
• Jerissa Plummer

• 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 3, 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.