RICHARD E OBRINGER PAC PROF CORP NPI 1417037698

NPI Information

NPI: 1417037698
Provider Name: RICHARD E OBRINGER PAC PROF CORP

Doing Business As: ADVANCED SURGICAL ASSOCIATES

Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
11413 PERUGINO DR
LAS VEGAS, NV
ZIP 89138
Phone: (702) 499-7296
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RICHARD E OBRINGER PAC PROF CORP is a surgical physician assistant in Las Vegas, NV. RICHARD E OBRINGER PAC PROF CORP NPI is 1417037698. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Surgical Associates.

The provider's business location address is:

11413 PERUGINO DR
LAS VEGAS, NV
ZIP 89138-533
Phone: (702) 499-7296

The provider's authorized official is Richard O'bringer .
The authorized official title is President and has the following contact phone number (702) 499-7296.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 8/1/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	100503895	MEDICAID	NEVADA
2	P07516	MEDICARE UPIN	NEVADA
3	V40256	MEDICARE PIN	NEVADA

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: 11/14/2023

NPI Synchronization or Removal

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