Provider Demographics
NPI:1679625453
Name:NEVADA ANESTHESIA CONSULTANTS LLP
Entity Type:Organization
Organization Name:NEVADA ANESTHESIA CONSULTANTS LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-487-6510
Mailing Address - Street 1:2501 GREEN VALLEY PARKWAY
Mailing Address - Street 2:SUITE 112D
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014
Mailing Address - Country:US
Mailing Address - Phone:702-457-6510
Mailing Address - Fax:702-405-7960
Practice Address - Street 1:2501 GREEN VALLEY PARKWAY
Practice Address - Street 2:SUITE 112D
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014
Practice Address - Country:US
Practice Address - Phone:702-457-6510
Practice Address - Fax:702-487-6510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2018-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV207L00000X
207L00000X
NV6082207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100502202Medicaid
NV100502202Medicaid