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

NPI Status: Active since April 12, 2013

Contact Information

58 N PECOS RD
HENDERSON, NV
ZIP 89074
Phone: (702) 948-2520
Fax: (702) 948-2523

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  • Organization
  • Internal Medicine
  • Sports Medicine

About LAS VEGAS PAIN RELIEF CENTER

This page provides the complete NPI Profile along with additional information for Las Vegas Pain Relief Center, an internist established in Henderson, Nevada operating as a Internal Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1053754630 assigned on April 2013. The practitioner's primary taxonomy code is 207RS0010X with license number 4511 (NV). The provider is registered as an organization and their NPI record was last updated 11 years ago. Las Vegas Pain Relief Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Las Vegas Pain Relief Center. The authorized official of this NPI record is Mr. Jon S Petrick D.c. (Clinical Director)

NPI
1053754630
Provider Legal Name
LAS VEGAS PAIN RELIEF CENTERS(RUSSO),PC
Other Organization Name
LAS VEGAS PAIN RELIEF CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
58 N PECOS RD HENDERSON, NV 89074
Location Phone
(702) 948-2520
Location Fax
(702) 948-2523
Mailing Address
58 N PECOS RD HENDERSON, NV 89074
Mailing Phone
(702) 948-2520
Mailing Fax
(702) 948-2523
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-12-2013
Last Update Date
03-02-2015
Code Navigator

An internist like Las Vegas Pain Relief Center is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Sports Medicine

Taxonomy Code
207RS0010X
Type
Allopathic & Osteopathic Physicians
License No.
4511
License State
NV
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1111NS0005XChiropractic Providers

Chiropractor
Sports Physician

B00848 (NV)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JON S PETRICK D.C.

Authorized Official Title
CLINICAL DIRECTOR
Authorized Official Phone
(702) 948-2520

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053754630, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
6
Unchanged
Pos 9
3
Doubled → 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 1 + 4 + 5 + 8 + 6 + 6 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1053754630.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

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

The NPI number assigned to this healthcare provider is 1053754630, enumerated as an "organization" on April 12, 2013.

The provider is located at 58 N PECOS RD HENDERSON, NV 89074 and the phone number is (702) 948-2520.

Internal Medicine with taxonomy code 207RS0010X and a focus in Sports Medicine.