Gbo NNHS ASC JV, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GBO NNHS ASC JV, LLC

Doing business as

Great Basin Surgery Center

Practice address

5411 Kietzke LN Ste 100
Reno, NV 89511-1088

Phone

(888) 282-7472

NPI assigned

Sep 26, 2024

Last updated

Dec 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steve Filton

Title

Vice President

Phone

(610) 768-3300

Specialties & licenses 1

Addresses

Other names 1

• Great Basin Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1942027206. Details of each certification follow.

• CCN 29C0001149 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 29C0001149

Legal name

GREAT BASIN SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Oct 31, 2025

Last certification

Oct 2, 2025

Facility address

5411 Kietzke Lane Unit 100
Reno, NV 89511

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Sparks Family Hospital Inc

  dba Northern Nevada Medical Center

  • General Acute Care Hospital
  • Sparks, NV
  • NPI 1548250582

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1942027206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 KIETZKE LN STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111088",
            "telephone_number": "888-282-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 KIETZKE LN STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111088",
            "telephone_number": "888-282-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GBO NNHS ASC JV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "FILTON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "610-768-3300"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Basin Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Great Basin Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laurence George Gay, MD
• McCallister Claire Gayle
• Krista Renee Gazzaway, LDO
• GBC Anesthesia Inc.
• Oluwafemi Olayinka Gbenjo
• Colleen Geary
• Esther Gebelein
• Patricia Gebhardt
• Sarah Gebrezghi
• Tiana Geddies

• Ambulatory Surgical Clinic/Center in Reno, NV
• Providers in Reno, 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 Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.