MEDICARE: PREMIER ORTHOPEDIC AND SPINE INSTITUTE PLLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician
2	207XS0117X	Orthopaedic Surgery of the Spine Physician
3	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician
4	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician
5	207XX0801X	Orthopaedic Trauma Physician
6	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1902756505
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMIER ORTHOPEDIC AND SPINE INSTITUTE PLLC

Provider Business Mailing Address
First Line	:	1701 N GREEN VALLEY PKWY STE B
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-5885
Country	:	US
Telephone Number	:	702-349-6539
Fax Number	:

Provider Business Practice Location Address
First Line	:	1701 N GREEN VALLEY PKWY STE B
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-5885
Country	:	US
Telephone Number	:	702-349-6539
Fax Number	:	725-208-3981

Authorized Official
Title or Position	:	OWNER
Name	:	AMIT PAREKH
Credential	:
Telephone Number	:	702-349-6539

Provider Enumeration Date	:	02/02/2026
Last Update Date	:	02/02/2026

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