SUMMERLIN SURGICAL ASSOCIATES
NPI 1639350069
Surgery in Las Vegas, NV

Active since November 14, 2007
653 N TOWN CENTER DR, LAS VEGAS, NV 89144(702) 256-7616(702) 256-1481 Get Directions Write a Review

NPPES record last updated: November 14, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Summerlin Surgical Associates NPPES

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

SUMMERLIN SURGICAL ASSOCIATES (NPI 1639350069) is a healthcare organization registered as a surgery in Las Vegas, Nevada and active in the NPI registry since November 2007. The organization lists Kevin Petersen, Physician, as its authorized official.

NPPES Registry Identity

NPI1639350069
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSUMMERLIN SURGICAL ASSOCIATES
Location Address653 N TOWN CENTER DRLas Vegas, NV 89144-0514
Mailing Address653 N Town Center DrLas Vegas, NV 89144-0514 · (702) 256-7616 · Fax (702) 256-1481
Fax(702) 256-1481
Organization SubpartNo
Authorized OfficialKevin PetersenPhysician · (702) 256-7616
Enumeration DateNovember 14, 2007
NPI 1639350069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NV · 9665
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
653 N TOWN CENTER DR, Las Vegas, NV 89144

Other Identifiers 1

Medicare PINV36074

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Plastic Surgery
653 N TOWN CENTER DR, SUITE 108
LAS VEGAS, NV 89144
Anesthesiology
653 N TOWN CENTER DR, SUITE 402
LAS VEGAS, NV 89144
Pediatrics
653 N TOWN CENTER DR, SUITE 106
LAS VEGAS, NV 89144
Obstetrics & Gynecology
653 N TOWN CENTER DR, SUITE 514
LAS VEGAS, NV 89144
Obstetrics & Gynecology (Gynecology)
653 N TOWN CENTER DR, SUITE 214
LAS VEGAS, NV 89144
Internal Medicine (Gastroenterology)
653 N TOWN CENTER DR, SUITE #604
LAS VEGAS, NV 89144
Pediatrics (Pediatric Critical Care Medicine)
653 N TOWN CENTER DR, STE 408
LAS VEGAS, NV 89144
Physical Medicine & Rehabilitation
653 N TOWN CENTER DR
LAS VEGAS, NV 89144

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 Summerlin Surgical Associates's NPI number?

The NPI number for Summerlin Surgical Associates is 1639350069. It was assigned to this organization in the NPPES registry on November 14, 2007.

Where is Summerlin Surgical Associates located?

Summerlin Surgical Associates is located at 653 N Town Center Dr, Las Vegas, NV 89144. The listed phone number is (702) 256-7616.

What is Summerlin Surgical Associates's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Summerlin Surgical Associates was last updated on November 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.