Provider Demographics
NPI:1841578978
Name:PHYSICIANS' SURGERY CENTER OF NEVADA LLC
Entity Type:Organization
Organization Name:PHYSICIANS' SURGERY CENTER OF NEVADA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:WOLFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-841-2000
Mailing Address - Street 1:PO BOX 663
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89702-0663
Mailing Address - Country:US
Mailing Address - Phone:775-841-2000
Mailing Address - Fax:775-841-4200
Practice Address - Street 1:3475 GS RICHARDS BLVD # 110
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-8462
Practice Address - Country:US
Practice Address - Phone:775-841-2000
Practice Address - Fax:775-841-4200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-22
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1841578978Medicaid