Organization
DESERT ORTHOPAEDIC CENTER, LTD.
Active
Organization
DESERT ORTHOPAEDIC CENTER, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL FRANCIS PENDLETON (ADMINISTRATOR)
(702) 731-1616
Entity
Organization
Contact information
Practice address
2800 E DESERT INN RD STE 100, LAS VEGAS, NV 89121-3609
(702) 731-1616
(702) 734-4900
Mailing address
PO BOX 50509, HENDERSON, NV 89016-0509
(702) 731-1616
(702) 731-0741
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
363AS0400X
Surgical Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100502926
—
NV
05
—
1548235302
—
NV
01
—
C12370
RR MEDICARE
NV
01
—
VWCGWG
MEDICARE
NV
Enumeration date
02/22/2006
Last updated
10/09/2023
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