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

Summerlin Surgical Associates

Organization Surgery Physician · NPI 1639350069

Summerlin Surgical Associates is a 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
Las Vegas, NV 89144-0514
Phone: (702) 256-7616
Fax: (702) 256-1481
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 9665 (NV)

Record details

NPI number1639350069
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Petersen — Physician · (702) 256-7616
NPI enumeratedNovember 14, 2007
Last updated in NPPESNovember 14, 2007
Mailing address653 N Town Center Dr, Las Vegas, NV 89144-0514

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