# INSTITUTE OF ORTHOPAEDIC SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689652638
- **Authorized official:** MR. MICHAEL PENDLETON (ADMINISTRATOR)
- **Authorized official phone:** (702) 731-1616

## Contact information

- **Practice address:** 2800 E DESERT INN RD, SUITE 150, LAS VEGAS, NV 89121-3608
- **Practice address phone:** (702) 735-7355
- **Practice address fax:** (702) 735-7966
- **Mailing address:** PO BOX 92212, LAS VEGAS, NV 89193-2212
- **Mailing address phone:** (702) 735-7355
- **Mailing address fax:** (702) 735-7966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 3303ASC-7 | NV | Yes |

## Other

- **Enumeration date:** 01/09/2006
- **Last updated:** 10/09/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004602200 | — | NV |
| 01 | — | V38027 | MEDICARE ID - TYPE UNSPECIFIED | — |