Organization Active NPI

Signature Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1922698380
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SIGNATURE SURGERY CENTER LLC
Practice address
6930 S Cimarron Rd # 110
Las Vegas, NV 89113-2135
Phone
(702) 780-4222
Fax
(702) 425-1241
NPI assigned
Jan 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Tereza Fugitt, RN
Title
Nurse Administrator
Phone
(702) 780-4222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

6930 S Cimarron Rd # 110
Las Vegas, NV 89113-2135

Mailing address

6930 S Cimarron Rd # 110
Las Vegas, NV 89113-2135
Phone (702) 780-4222

Other names 1

  • Signature Surgery Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2198053Signature Surgery Center LLC6930 S Cimarron Rd Ste 110a, Las Vegas, NV 89113Certificate of waiverOct 28, 2026

National Provider Directory

National Provider Directory

Locations

6930 S Cimarron Rd
Ste 110
Las Vegas, NV 89113
Phone (702) 780-4222

NPI Registry JSON

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

{
    "created_epoch": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1922698380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6930 S CIMARRON RD # 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132135",
            "telephone_number": "702-780-4222",
            "fax_number": "702-425-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6930 S CIMARRON RD # 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132135",
            "telephone_number": "702-780-4222",
            "fax_number": "702-425-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "FUGITT",
        "authorized_official_first_name": "TEREZA",
        "authorized_official_title_or_position": "NURSE ADMINISTRATOR",
        "authorized_official_telephone_number": "702-780-4222",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.