Las Vegas Pain Relief Centers(russo),pc
NPI 1053754630 · Sports Medicine (Internal Medicine) Physician · Henderson, NV
Las Vegas Pain Relief Centers(russo),pc is a Sports Medicine (Internal Medicine) Physician organization in Henderson, NV (NPI 1053754630).
Provider details
- NPI number
- 1053754630
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jon Petrick, Clinical Director(702) 948-2520
- License
- B00848 (NV)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Las Vegas Pain Relief Center
Registry dates
- Enumerated
- 2013-04-12
- Last updated
- 2015-03-02
Frequently asked questions
- What is Las Vegas Pain Relief Centers(russo),pc's NPI number?
- Las Vegas Pain Relief Centers(russo),pc's National Provider Identifier (NPI) is 1053754630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Las Vegas Pain Relief Centers(russo),pc?
- Las Vegas Pain Relief Centers(russo),pc is classified in the NPPES registry as Sports Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Las Vegas Pain Relief Centers(russo),pc located?
- Las Vegas Pain Relief Centers(russo),pc's practice location on file with NPPES is 58 N Pecos Rd, Henderson, NV 89074-7319.
- What is Las Vegas Pain Relief Centers(russo),pc's phone number?
- The practice phone number listed in the NPPES registry for Las Vegas Pain Relief Centers(russo),pc is (702) 948-2520.
- Who is the authorized official for Las Vegas Pain Relief Centers(russo),pc?
- The authorized official listed on Las Vegas Pain Relief Centers(russo),pc's NPPES record is Jon Petrick, Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Las Vegas Pain Relief Centers(russo),pc's NPI active?
- Yes — Las Vegas Pain Relief Centers(russo),pc's NPI (1053754630) is active in the NPPES registry as of the last update on 2015-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.