MEDICARE: ENT SURGICENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1881551497
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENT SURGICENTER, LLC

Provider Business Mailing Address
First Line	:	8840 W SUNSET RD STE B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4897
Country	:	US
Telephone Number	:	702-209-3377
Fax Number	:

Provider Business Practice Location Address
First Line	:	8840 W SUNSET RD STE B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-4897
Country	:	US
Telephone Number	:	702-209-3377
Fax Number	:

Authorized Official
Title or Position	:	VP/CFO
Name	:	DAVID MCKNIGHT
Credential	:
Telephone Number	:	972-789-2816

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	06/15/2026

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