Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Orthopedics & Sports Medicine LLC

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1265419014

Orthopedics & Sports Medicine LLC is a Sports Medicine (Orthopaedic Surgery) Physician in Las Vegas, Nevada. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9499 W Charleston Blvd Ste 200
Las Vegas, NV 89117-7147
Phone: (702) 933-9393
Fax: (702) 933-6789
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X
Physical Therapist Taxonomy 225100000X

Record details

NPI number1265419014
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carmelina Simon — Business Office Manager · (702) 933-9393
Other names Knee And Shoulder Institute
NPI enumeratedDecember 22, 2005
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025
Mailing addressPo Box 97618, Las Vegas, NV 89193-7618

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