Healthcare Provider Details

I. General information

NPI: 1285601930
Provider Name (Legal Business Name): SUMMIT ANESTHESIA CONSULTANTS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 06/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7220 S CIMARRON RD SUITE 230
LAS VEGAS NV
89113-2173
US

IV. Provider business mailing address

PO BOX 401805
LAS VEGAS NV
89140-1805
US

V. Phone/Fax

Practice location:
  • Phone: 702-878-0070
  • Fax: 702-818-1928
Mailing address:
  • Phone: 702-209-2042
  • Fax: 702-209-2064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberB20-00309-D-075108
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberB20-00309-D-075108
License Number StateNV

VIII. Authorized Official

Name: DR. NEIL SWISSMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 702-209-2042