Jack Yang (NPI# 1720405830, PAC ID# 6002035425) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1720405830 |
| PAC ID by PECOS | 6002035425 |
| Professional Enrollment ID | I20170815002212 |
| Full Name | Jack Yang |
| Organization Legal Name | UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA |
| Address |
9320 W Sahara Ave Las Vegas NV 89117-5351 |
| Phone Number | 7023833850 |
| Gender | M |
| Medical School | UNIVERSITY OF NEVADA SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7315934429 |
| Number of Group Practice Members | 77 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290007 | UNIVERSITY MEDICAL CENTER |
| 290041 | SUMMERLIN HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 9320 W Sahara Ave, Las Vegas, NV 89117-5351 | 7023833850 | UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA |
| Organization Legal Name | UNIVERSITY MEDICAL CENTER OF SOUTHERN NEVADA |
| Physicians | 85 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander Chang | Family Medicine | University Medical Center of Southern Nevada | 5785 Centennial Ctr Blvd, Suite 190, Las Vegas, NV 89149-7110 |
| Melissa P Best | Nurse Practitioner | University Medical Center of Southern Nevada | 9320 W Sahara Ave, Las Vegas, NV 89117-5351 |
| Rajeev Sharma | General Surgery | University Medical Center of Southern Nevada | 901 Rancho Ln, Suite 250, Las Vegas, NV 89106-3835 |
| Jayme A Ching | Nurse Practitioner | University Medical Center of Southern Nevada | 1700 Wheeler Peak Dr, Las Vegas, NV 89106-2150 |
| Wilson Knight | Family Medicine | University Medical Center of Southern Nevada | 61 N Nellis Blvd, Las Vegas, NV 89110-5330 |
| Andrea Narag | Nurse Practitioner | University Medical Center of Southern Nevada | 4180 S Rainbow Blvd, Suite 810, Las Vegas, NV 89103-3135 |
| Patrick L Free | Nurse Practitioner | University Medical Center of Southern Nevada | 4231 N Rancho Dr, Las Vegas, NV 89130-3409 |
| Ernesto Rubio | Internal Medicine | University Medical Center of Southern Nevada | 1800 W Charleston Blvd, Las Vegas, NV 89102-2329 |
| Ramin Etebar | Internal Medicine | University Medical Center of Southern Nevada | 525 Marks St, Henderson, NV 89014-6654 |
| Frederick J Lippmann | Family Medicine | University Medical Center of Southern Nevada | 1800 W Charleston Blvd, Las Vegas, NV 89102-2329 |
| Street Address |
9320 W SAHARA AVE |
| City | LAS VEGAS |
| State | NV |
| Zip | 89117-5351 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa P Best | Nurse Practitioner | University Medical Center of Southern Nevada | 9320 W Sahara Ave, Las Vegas, NV 89117-5351 |
| Conrado C Concio | Family Medicine | University Medical Center of Southern Nevada | 9320 W Sahara Ave, Las Vegas, NV 89117-5351 |
| Timothy J Schrader | Internal Medicine | University Medical Center of Southern Nevada | 9320 W Sahara Ave, Las Vegas, NV 89117-5351 |
| Monique L Turner | Nurse Practitioner | University Medical Center of Southern Nevada | 9320 W Sahara Ave, Las Vegas, NV 89117-5351 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William H Baumgartl | Anesthesiology | 1541 Windhaven Cir, Las Vegas, NV 89117-1532 | |
| Saritha L Farris | Clinical Social Worker | 7351 W Charleston Blvd, Suite 140, Las Vegas, NV 89117-1572 | |
| Aaron E Bomer | Clinical Social Worker | 7351 W Charleston Blvd, Suite 140, Las Vegas, NV 89117-1572 | |
| Joseph E Dipalma | Internal Medicine | 7341 W Charleston Blvd, Suite 120, Las Vegas, NV 89117-1573 | |
| Kathleen L Risdon | Clinical Social Worker | 7371 W Charleston Blvd, Suite 110, Las Vegas, NV 89117-1575 | |
| Maria A Giacalone | Chiropractic | 7341 W Charleston Blvd, Suite 170, Las Vegas, NV 89117-1578 | |
| Michelle A Gravley | Clinical Psychologist | Michelle Gravley, P.C. | 7221 W Charleston Blvd, Las Vegas, NV 89117-1619 |
| Russell P Jayne | Ophthalmology | 6839 W Charleston Blvd, Las Vegas, NV 89117-1635 | |
| Juliet Ruiz | Clinical Social Worker | 6867 W Charleston Blvd, Suite B, Las Vegas, NV 89117-1669 | |
| Charles G Mahakian | Psychiatry | 6881 W Charleston Blvd, Suite B, Las Vegas, NV 89117-1673 | |
| Find all physicians in zip 89117 | |||
| City | LAS VEGAS |
| Zip Code | 89117 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAS VEGAS + FAMILY MEDICINE |
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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.