OrganizationActive
Orthopedics & Sports Medicine LLC
NPI 1265419014 · Sports Medicine (Orthopaedic Surgery) Physician · Las Vegas, NV
Provider details
- NPI number
- 1265419014
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carmelina Simon, Business Office Manager(702) 933-9393
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
9499 W Charleston Blvd
Ste 200
Las Vegas, NV 89117-7147
Phone: (702) 933-9393
Fax: (702) 933-6789
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 97618
Las Vegas, NV 89193-7618
Other names (DBA / former)
- Doing business as
- Knee and Shoulder Institute
Registry dates
- Enumerated
- 2005-12-22
- Last updated
- 2025-12-02
- Certified
- 2025-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.