Provider Demographics
NPI:1285601930
Name:SUMMIT ANESTHESIA CONSULTANTS, INC
Entity type:Organization
Organization Name:SUMMIT ANESTHESIA CONSULTANTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SWISSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-209-2042
Mailing Address - Street 1:PO BOX 401805
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89140-1805
Mailing Address - Country:US
Mailing Address - Phone:702-209-2042
Mailing Address - Fax:702-209-2064
Practice Address - Street 1:7220 S CIMARRON RD
Practice Address - Street 2:SUITE 230
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89113-2173
Practice Address - Country:US
Practice Address - Phone:702-878-0070
Practice Address - Fax:702-818-1928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-01
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB20-00309-D-075108207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVWQBGVMedicare PIN
NVCD4533Medicare PIN
NVVWQBGVMedicare PIN
NVWQBGVMedicare ID - Type UnspecifiedGROUP MEDICARE NUMBER