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Las Vegas Pain Relief Centers(Russo),PC

Sports Medicine (Internal Medicine) Physician in Henderson, NV · enumerated 2013 · authorized official Jon Petrick, Clinical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053754630

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Registry record

Entity type Organization (Type 2)
Legal business name Las Vegas Pain Relief Centers(Russo),PC
Other name <Unavail>
Practice address 58 N Pecos Rd, Henderson, NV, 89074
Phone (702) 948-2520
Fax (702) 948-2523
Enumeration date Apr 12, 2013
Last updated in NPPES Mar 2, 2015

Taxonomy & classification

111NS0005X Sports Physician Chiropractor Chiropractic Providers · License B00848 (NV) Secondary
207RS0010X Sports Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians · License 4511 (NV) Primary

Authorized official

Name Jon Petrick
Title Clinical Director
Phone (702) 948-2520

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Las Vegas Pain Relief Centers(Russo),PC?
The NPI for Las Vegas Pain Relief Centers(Russo),PC is 1053754630, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Las Vegas Pain Relief Centers(Russo),PC?
NPPES lists Jon Petrick (Clinical Director) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-03-02.