East Russell Surgery Partners, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EAST RUSSELL SURGERY PARTNERS, LLC

Practice address

4050 E. Russell Rd
Suite 100
Las Vegas, NV 89120

Phone

(702) 507-0983

Fax

(702) 839-1301

NPI assigned

Sep 12, 2024

Organization subpart

No

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

Authorized official

Name

David Lanzkowsky, M.D.

Title

Owner

Phone

(702) 507-0983

Specialties & licenses 1

Addresses

Tax ID family

Albuquerque Surgical Partners LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Albuquerque Surgical Partners LLC

  • Ambulatory Surgical Clinic/Center
  • Albuquerque, NM
  • NPI 1629801071
  NPD tax ID

Locations

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1861228124",
    "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": "89130",
            "telephone_number": "702-507-0983",
            "fax_number": "702-839-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 E. RUSSELL RD",
            "address_2": "SUITE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89120",
            "telephone_number": "702-507-0983",
            "fax_number": "702-839-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST RUSSELL SURGERY PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "LANZKOWSKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-507-0983",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Easter Seals Southern Nevada
• Jonelle Easter

• 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 Sep 12, 2024; 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.