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

Anthony Scoccolo, PHYSICIANASSISTANT

Individual provider Surgical Physician Assistant · NPI 1932915717

Anthony Scoccolo, PHYSICIANASSISTANT is a Surgical Physician Assistant in Henderson, Nevada. Practices as a sole proprietor and works from 3 locations. Licensed in Nevada.

Licensed in
NV
In the registry since
2024
Specialties on file
3

Practice location Address checks out

98 E Lake Mead Pkwy Ste 105
Henderson, NV 89015-6443
Phone: (702) 823-4300
Show map & directions

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

Additional practice locations (2)

  • 37 S Water St, Henderson, NV 89015-7222 — (702) 823-4300
  • 1785 E Sahara Ave, Las Vegas, NV 89104-3733 — (702) 823-4300

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA3437 (NV)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA3437 (NV)
Physician Assistant Taxonomy 363A00000X · Licence PA3437 (NV)

Record details

NPI number1932915717
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedDecember 6, 2024
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026
Mailing address1785 E Sahara Ave Ste 340, Las Vegas, NV 89104-3717

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