OrganizationActive
Shadow Mountain Surgery Center
NPI 1730280330 · Ambulatory Surgical Clinic/Center · Las Vegas, NV
Provider details
- NPI number
- 1730280330
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- David Malitz, Owner(812) 421-2020
- License
- 2000044-426 (NV)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
7135 W Sahara Ave
Las Vegas, NV 89117-2828
Phone: (812) 421-2020
Fax: (812) 422-1189
Street-level locationGet directions
Mailing address
7135 W Sahara Ave
Las Vegas, NV 89117-2828
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2007-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.