Healthcare Provider Details

I. General information

NPI: 1841148939
Provider Name (Legal Business Name): HRUSKA PULMONARY ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 CATHEDRAL ROCK DR STE 170
LAS VEGAS NV
89128-0466
US

IV. Provider business mailing address

7200 CATHEDRAL ROCK DR STE 170
LAS VEGAS NV
89128-0466
US

V. Phone/Fax

Practice location:
  • Phone: 702-384-5101
  • Fax: 702-382-5675
Mailing address:
  • Phone: 702-384-5101
  • Fax: 702-382-5675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: JEROME HRUSKA
Title or Position: PRESIDENT/ CEO
Credential: DO
Phone: 702-325-1832