DYNASTY SURGICAL PARTNERS I, LLC (NPI# 1669062139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669062139 |
| Entity Type | Organization |
| Organization Name | DYNASTY SURGICAL PARTNERS I, LLC |
| Practice Address | 6671 Las Vegas Blvd S Unit D-210 Las Vegas NV 89119-3273 |
| Practice Telephone | 7028006451 |
| Mailing Address | 6671 Las Vegas Blvd S Unit D-210 Las Vegas NV 89119-3273 |
| Mailing Telephone | 7028006451 |
| Certification Date | 2021-02-04 |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2021-02-04 |
| Authorized Official Telephone | 7022906260 |
| Authorized Official Credential | CSFA |
| Is Organization Subpart | Y |
| Parent Organization Name | DYNASTY SURGICAL SYSTEMS, LLC |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 246ZC0007X | Specialist/Technologist, Other Specialization: Surgical Assistant | 193200000X MULTI-SPECIALTY GROUP | Technologists, Technicians & Other Technical Service Providers |
| Street Address | 6671 LAS VEGAS BLVD S UNIT D-210 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-3273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295325751 | Dynasty Surgical Systems, LLC | Specialist/Technologist, Other · Surgical Assistant | 6671 Las Vegas Blvd S Unit D-210, Las Vegas, NV 89119-3273 | 2021-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497378723 | Nutrition 4 Body and Mind LLC | Dietitian, Registered | 6671 S. Las Vegas Blvd., Bldg. D, Suite 210, Las Vegas, NV 89119-3273 | 2020-05-21 |
| 1831501428 | Christina Fontenette | Counselor · Mental Health | 6671 Las Vegas Blvd S Ste 210, Las Vegas, NV 89119-3273 | 2014-05-30 |
| 1730508383 | Hendrix Investment Group LLC · Absolute Behavioral Health Services | Community/Behavioral Health | 6671 Las Vegas Blvd S, Bldg D Ste 210, Las Vegas, NV 89119-3273 | 2014-04-10 |
| 1205433067 | Brittany Marie Moon | Behavior Technician | 6671 Las Vegas Blvd S Ste 210, Las Vegas, NV 89119-3273 | 2020-10-05 |
| 1518576214 | Michael Louis-Norman Webster I | Behavior Technician | 6671 Las Vegas Blvd S Ste 210, Las Vegas, NV 89119-3273 | 2020-07-28 |
| 1588213219 | Behavior and Education Inc | Clinic/Center · Adolescent and Children Mental Health | 6671 Las Vegas Blvd S Ste 210, Las Vegas, NV 89119-3273 | 2019-09-05 |
| 1730681255 | Daphnne Balizan | Dietitian, Registered | 6671 Las Vegas Blvd S Ste 210, Las Vegas, NV 89119-3273 | 2018-02-28 |
| 1003369992 | Monique Howard | Technician · Personal Care Attendant | 6671 Las Vegas Blvd S, Suite 210, Las Vegas, NV 89119-3273 | 2016-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician · Personal Care Attendant | Safeathomecaregiver@gmail.com, 1775 East Tropicana Avenue 16-B, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician · Personal Care Attendant | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker · Clinical | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-B, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician · Personal Care Attendant | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician · Personal Care Attendant | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932753019 | Maria Josefina Olivar Mata | 5271 Sunny Beach Ln, Las Vegas, NV 89118-1391 | 2019-07-28 | |
| 1750853495 | Isaac Raphael Rhino | 10739 Knickerbocker Ave, Las Vegas, NV 89166-8009 | 2018-12-19 | |
| 1073026506 | Daisel Guevara | 3080 Greendale St, Las Vegas, NV 89121-2715 | 2017-11-07 | |
| 1073038626 | Yasmin Mauro | 7205 Almerta Ave, Las Vegas, NV 89178-8032 | 2017-08-04 | |
| 1093242349 | Heather Gamez | 8930 W Sunset Rd Ste 140, Las Vegas, NV 89148-5009 | 2017-05-17 | |
| 1083075980 | Christopher G Gastelum Sr. | 1748 Victor Hugo Ln, Las Vegas, NV 89115-8231 | 2016-03-19 | |
| 1821384397 | Eric Joseph Tiesi | 8960 W. Tropicana Avenue, Suite 500, Las Vegas, NV 89147-8139 | 2011-06-23 | |
| 1851687693 | Scott A Brandon | 1857 Derbyshire Dr, Las Vegas, NV 89117-5358 | 2011-06-20 | |
| 1295325751 | Dynasty Surgical Systems, LLC | 6671 Las Vegas Blvd S Unit D-210, Las Vegas, NV 89119-3273 | 2021-01-19 | |
| 1124527155 | Jeysom Jose Kus | 7040 Smoke Ranch Rd, Las Vegas, NV 89128-8607 | 2018-02-05 | |
| Find all providers in LAS VEGAS | ||||
| City | LAS VEGAS |
| Zip Code | 89119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861770182 | Surgical Partners · Broad Enterprises, Inc. | Physician Assistant · Surgical | 4440 W 95th St, Advocate Medical Group - Surgical Partners, Oak Lawn, IL 60453-2600 | 2011-08-03 |
| 1366521767 | Surgical Imaging Services Inc. | Radiologic Technologist · Radiography | 782 Dynasty Dr, Fairfield, CA 94534-6612 | 2006-11-04 |
| 1134634322 | Dynasty Network · Dynasty Family Health Services | Case Management | 40560 Douglas Dr Apt 204, Canton, MI 48188-1357 | 2017-12-09 |
| 1295325751 | Dynasty Surgical Systems, LLC | Specialist/Technologist, Other · Surgical Assistant | 6671 Las Vegas Blvd S Unit D-210, Las Vegas, NV 89119-3273 | 2021-01-19 |
| 1477886406 | Biltmore Surgical Partners, LLC · Deer Valley Surgical and Endoscopy Center | Clinic/Center · Ambulatory Surgical | 19646 N 27th Ave Ste 101, Phoenix, AZ 85027-4025 | 2009-09-09 |
| 1609314707 | Dynasty Home Care · Dynasty Home Health Care | In Home Supportive Care | 210 W Stone Ave, Suite Lr5, Greenville, SC 29609-5452 | 2017-02-08 |
| 1962953919 | Pro-Tech Surgical Services Pllc · Elite Surgical Health Partners | Physician Assistant · Surgical | 650 N Sam Houston Pkwy E, Suite 405, Houston, TX 77060-5906 | 2016-10-14 |
| 1497752745 | Orthopedic South Surgical Partners, LLC · Orthopaedic South Surgical Center | Clinic/Center · Ambulatory Surgical | 6645 Lake Dr, Morrow, GA 30260-2354 | 2005-07-01 |
| 1518997774 | Avondale Surgical Partners · Surgical Elite | Clinic/Center · Ambulatory Surgical | 10815 W Mcdowell Rd, Suite 101, Avondale, AZ 85323 | 2006-07-04 |
| 1003138736 | Newport Surgical Partners LLC · Newport Plaza Surgical Center | Clinic/Center · Ambulatory Surgical | 1901 Newport Blvd, Ste 120, Costa Mesa, CA 92627-2278 | 2010-02-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.