Humberto Rodriguez (NPI# 1912927229, PAC ID# 3678562394) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1912927229 |
| PAC ID by PECOS | 3678562394 |
| Professional Enrollment ID | I20040508000094 |
| Full Name | Humberto Rodriguez |
| Organization Legal Name | JORGENSON AND KOKA LLP |
| Address |
9975 S Eastern Ave Suite 110 Las Vegas NV 89183-7950 |
| Phone Number | 7023612273 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1973 |
| Primary Specialty | GENERAL PRACTICE |
| Secondary Specialties | FAMILY MEDICINE, INTERNAL MEDICINE |
| Group Practice PAC ID | 5092735936 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9975 S Eastern Ave, Suite 110, Las Vegas, NV 89183-7950 | 7023612273 | JORGENSON AND KOKA LLP |
| Organization Legal Name | JORGENSON AND KOKA LLP |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy R Knauff | Physician Assistant | Jorgenson and Koka LLP | 9975 S Eastern Ave, Suite 110, Las Vegas, NV 89183-7950 |
| Lola T Margron | Physician Assistant | Jorgenson and Koka LLP | 9975 S Eastern Ave, Suite 110, Las Vegas, NV 89183-7950 |
| Don E Gregory | Family Practice | Jorgenson and Koka LLP | 9975 S Eastern Ave, Suite 110, Las Vegas, NV 89183-7950 |
| Street Address |
9975 S EASTERN AVE SUITE 110 |
| City | LAS VEGAS |
| State | NV |
| Zip | 89183-7950 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy R Knauff | Physician Assistant | Jorgenson and Koka LLP | 9975 S Eastern Ave, Suite 110, Las Vegas, NV 89183-7950 |
| Ilir Manaj | Nurse Practitioner | Craig M Jorgenson Md Ltd | 9975 S Eastern Ave, Suite 110, Las Vegas, NV 89183-7950 |
| Lola T Margron | Physician Assistant | Jorgenson and Koka LLP | 9975 S Eastern Ave, Suite 110, Las Vegas, NV 89183-7950 |
| Mildred M Martinez | Nurse Practitioner | Craig M Jorgenson Md Ltd | 9975 S Eastern Ave, Suite 110, Las Vegas, NV 89183-7950 |
| Craig M Jorgenson | Internal Medicine | Craig M Jorgenson Md Ltd | 9975 S Eastern Ave, Suite 110, Las Vegas, NV 89183-7950 |
| Don E Gregory | Family Practice | Jorgenson and Koka LLP | 9975 S Eastern Ave, Suite 110, Las Vegas, NV 89183-7950 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean Wesley Reyes | Podiatry | 10134 Neville Ct, Las Vegas, NV 89183-4270 | |
| Kevin P Rudny | Diagnostic Radiology | Los Robles Radiologic Associates | 10000 S Maryland Pkwy, Apt 2088, Las Vegas, NV 89183-6392 |
| Daniel W Schultz | Chiropractic | 9775 S Maryland Pkwy A, Las Vegas, NV 89183-7123 | |
| Robert M Wlodek | Optometry | 9895 S Maryland Pkwy, Suite D, Las Vegas, NV 89183-7165 | |
| Behzad Kermani | Internal Medicine | 700 E Silverado Ranch Blvd, Suite 140, Las Vegas, NV 89183-7517 | |
| Aaron A Adaoag | Family Medicine | 9816 Gilespie St, Suite 550, Las Vegas, NV 89183-7603 |
| City | LAS VEGAS |
| Zip Code | 89183 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | LAS VEGAS + GENERAL PRACTICE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.