Organization Active NPI

Rural Surgical Associates of Las Vegas LLC

  • Surgery Physician
  • Las Vegas, NM
National Provider Identifier
1801309018
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
RURAL SURGICAL ASSOCIATES OF LAS VEGAS LLC
Practice address
105 Mills Ave Ste 200
Las Vegas, NM 87701-4169
Phone
(505) 426-3795
Fax
(505) 425-2653
NPI assigned
Nov 9, 2017
Last updated
Dec 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Authorized official

Name
Annissa Apodaca
Title
Director of Operations
Phone
(505) 426-3795

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

105 Mills Ave Ste 200
Las Vegas, NM 87701-4169

Mailing address

105 Mills Ave Ste 200
Las Vegas, NM 87701-4169
Phone (505) 426-3795

National Provider Directory

National Provider Directory

Locations

105 Mills Ave
Ste 200
Las Vegas, NM 87701
Phone (505) 426-3795

108 Legion Dr
Ste B
Las Vegas, NM 87701
Phone (505) 426-3742

108 Legion Dr
Ste D
Las Vegas, NM 87701
Phone (505) 425-3569

1900 Hot Springs Blvd
Ste A
Las Vegas, NM 87701
Phone (505) 425-6425

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21998/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1801309018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MILLS AVE STE 200",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014169",
            "telephone_number": "505-426-3795",
            "fax_number": "505-425-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MILLS AVE STE 200",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014169",
            "telephone_number": "505-426-3795",
            "fax_number": "505-425-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL SURGICAL ASSOCIATES OF LAS VEGAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "APODACA",
        "authorized_official_first_name": "ANNISSA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "505-426-3795"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.