Fort Apache Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FORT APACHE SURGERY CENTER, LLC

Doing business as

Fort Apache Surgery Center

Practice address

6064 S Fort Apache
Suite 110
Las Vegas, NV 89148-8914

Phone

(702) 940-8007

NPI assigned

Oct 12, 2021

Organization subpart

No

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

Authorized official

Name

Pete Bekas

Title

Administrator

Phone

(702) 940-8007

Specialties & licenses 1

Addresses

Other names 1

• Fort Apache Surgery Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Haroon Andar, D.O.

  • Interventional Pain Medicine Physician
  • Las Vegas, NV
  • NPI 1659782910
  NPD (past)
• Andrew Michael Hall, M.D.

  • Pain Medicine Physician
  • Las Vegas, NV
  • NPI 1366737421
  NPD (past)
• Jaemi Keith, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1215145792
  NPD (past)
• Katherine D Travnicek, MD

  • Interventional Pain Medicine Physician
  • Las Vegas, NV
  • NPI 1356467831
  NPD (past)

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1780346346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6064 S FORT APACHE RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891484534",
            "telephone_number": "702-940-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6064 S FORT APACHE",
            "address_2": "SUITE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891488914",
            "telephone_number": "702-940-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT APACHE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "BEKAS",
        "authorized_official_first_name": "PETE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-940-8007"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fort Apache Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fort Apache Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Forster, RPH
• Andrea Forsyth, M.ED, BCBA, LBA
• Anitra J Forsyth
• Bobby Joe Forsyth, D.C.
• Fort Apache Medical Center
• Fort Freedom, LLC
• Fort Peace
• Skylar Simone Fort
• Trejon Fort
• Dana M Forte, DO

• 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 Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.