Provider Demographics
NPI:1831768084
Name:UMBACH SURGICAL GROUP PLLC
Entity type:Organization
Organization Name:UMBACH SURGICAL GROUP PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:W
Authorized Official - Last Name:UMBACH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-802-5200
Mailing Address - Street 1:3235 E WARM SPRINGS RD STE 500
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-3190
Mailing Address - Country:US
Mailing Address - Phone:888-531-9625
Mailing Address - Fax:
Practice Address - Street 1:3235 E WARM SPRINGS RD STE 500
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-3190
Practice Address - Country:US
Practice Address - Phone:702-802-5200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-22
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty