Provider Demographics
NPI:1699934927
Name:HAND SURGERY SPECIALISTS OF NEVADA YOUNG LLP
Entity type:Organization
Organization Name:HAND SURGERY SPECIALISTS OF NEVADA YOUNG LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:MAGNUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-645-7800
Mailing Address - Street 1:9321 W SUNSET RD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89148-4845
Mailing Address - Country:US
Mailing Address - Phone:702-645-7800
Mailing Address - Fax:702-650-0865
Practice Address - Street 1:9321 W SUNSET RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-4845
Practice Address - Country:US
Practice Address - Phone:702-645-7800
Practice Address - Fax:702-650-0865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-02
Last Update Date:2022-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV6349620001Medicare NSC
NVVBL134Medicare PIN