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

Pediatric Surgery Associates

Organization Pediatric Surgery Physician · NPI 1588784623

Pediatric Surgery Associates is a Pediatric Surgery Physician in Las Vegas, Nevada. Licensed in Nevada. Registered with an NPI since 2007.

Licensed in
NV
In the registry since
2007

Practice location Address checks out

653 N Town Center Dr Ste 507
Las Vegas, NV 89144-0514
Phone: (702) 233-8101
Fax: (702) 242-0726
Show map & directions

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

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X (NV)

Record details

NPI number1588784623
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Kogut — President · (702) 233-8101
NPI enumeratedMarch 30, 2007
Last updated in NPPESAugust 22, 2020
Mailing address653 N Town Center Dr, Suite 507, Las Vegas, NV 89144-0514

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