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BLACK MOUNTAIN ORTHOPAEDICS ASSC LLP NPI 1578776662


NPI Information

NPI: 1578776662
Provider Name: BLACK MOUNTAIN ORTHOPAEDICS ASSC LLP
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
1681 W HORIZON RIDGE PKWY
BLACK MOUNTAIN ORTHOPAEDICS
HENDERSON, NV
ZIP 89012
Phone: (702) 564-1234
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BLACK MOUNTAIN ORTHOPAEDICS ASSC LLP is an orthopaedic surgery in Henderson, NV. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. BLACK MOUNTAIN ORTHOPAEDICS ASSC LLP NPI is 1578776662. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1681 W HORIZON RIDGE PKWY
BLACK MOUNTAIN ORTHOPAEDICS
HENDERSON, NV
ZIP 89012
Phone: (702) 564-1234
Fax: (702) 564-3361

The provider's authorized official is Michael S Ravitch .
The authorized official title is Managing Partner and has the following contact phone number (702) 564-1234.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 8/28/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G68470MEDICARE UPINNEVADA
2C96485MEDICARE UPINNEVADA
339548MEDICARE ID-TYPE UNSPECIFIEDNEVADAROGER A. FONTES
439546MEDICARE ID-TYPE UNSPECIFIEDNEVADAMICHAEL S. RAVITCH
5R09717MEDICARE UPINNEVADA
640600MEDICARE ID-TYPE UNSPECIFIEDNEVADAPAUL A. MORGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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