LAS VEGAS PAIN RELIEF CENTER
NPI 1053754630
Internal Medicine - Sports Medicine in Henderson, NV

Active since April 12, 2013
58 N PECOS RD, HENDERSON, NV 89074(702) 948-2520(702) 948-2523 Get Directions Write a Review

NPPES record last updated: March 2, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Las Vegas Pain Relief Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAS VEGAS PAIN RELIEF CENTER (NPI 1053754630) is a healthcare organization registered as a sports medicine in Henderson, Nevada and active in the NPI registry since April 2013. The organization lists Jon S Petrick, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1053754630
Entity TypeOrganization
Primary Taxonomy207RS0010X
Legal Business NameLAS VEGAS PAIN RELIEF CENTERS(RUSSO),PC
Location Address58 N PECOS RDHenderson, NV 89074-7319
Mailing Address58 N Pecos RdHenderson, NV 89074-7319 · (702) 948-2520 · Fax (702) 948-2523
Fax(702) 948-2523
Organization SubpartNo
Authorized OfficialJon S PetrickClinical Director · (702) 948-2520
Enumeration DateApril 12, 2013
Last NPPES UpdateMarch 2, 2015
NPI 1053754630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0010X
License Licensed in NV · 4511
Definition

An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.

Also ListedChiropractor · Sports PhysicianTaxonomy 111NS0005X · License B00848 (NV)
58 N PECOS RD, Henderson, NV 89074

Other Names 1

Doing Business AsLas Vegas Pain Relief Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
58 N PECOS RD
HENDERSON, NV 89074
Chiropractor
58 N PECOS RD
HENDERSON, NV 89074
Urology
58 N PECOS RD
HENDERSON, NV 89074

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Las Vegas Pain Relief Centers(russo),pc's NPI number?

The NPI number for Las Vegas Pain Relief Centers(russo),pc is 1053754630. It was assigned to this organization in the NPPES registry on April 12, 2013. The provider is doing business as Las Vegas Pain Relief Center.

Where is Las Vegas Pain Relief Centers(russo),pc located?

Las Vegas Pain Relief Centers(russo),pc is located at 58 N Pecos Rd, Henderson, NV 89074. The listed phone number is (702) 948-2520.

What is Las Vegas Pain Relief Centers(russo),pc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

When was this NPI record last updated?

The NPPES record for Las Vegas Pain Relief Centers(russo),pc was last updated on March 2, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.