MIKE Y JEONG DO LTD


Address: 9811 W Charleston Blvd, Suite 2-304, Las Vegas, NV 89117-7528
Phone: 7029216829

MIKE Y JEONG DO LTD (NPI# 1134268923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134268923
Entity Type Organization
Organization Name MIKE Y JEONG DO LTD
Practice Address 9811 W Charleston Blvd
Suite 2-304
Las Vegas
NV 89117-7528
Practice Telephone 7029216829
Practice Fax Number 7029216828
Mailing Telephone 7029216829
Mailing Fax Number 7029216828
Enumeration Date 2007-02-06
Last Update Date 2009-02-27
Authorized Official Name MIKE Y JEONG (PRESIDENT)
Authorized Official Telephone 7029216829
Authorized Official Credential D.O.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
1024 NV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NV 002018471 05

Office Location

Street Address 9811 W CHARLESTON BLVD
SUITE 2-304
City LAS VEGAS
State NV
Zip Code 89117-7528

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699765735 Sheila L Miranda Internal Medicine 9811 W Charleston Blvd, Suite 2543, Las Vegas, NV 89117-7528 2005-10-27
1962992438 Luis Xavier Collazo Bonilla Specialist/Technologist, Other 9811 W Charleston Blvd, Las Vegas, NV 89117-7528 2018-05-10
1255856571 Katie A Turner Specialist/Technologist, Other 9811 W Charleston Blvd, Las Vegas, NV 89117-7528 2017-08-08
1174058184 Tyler Rasmussen Specialist/Technologist, Other 9811 W Charleston Blvd, Suite 2-641, Las Vegas, NV 89117-7528 2017-04-27
1497280424 Addison Monroe Specialist/Technologist, Other 9811 W Charleston Blvd, Suite 2-641, Las Vegas, NV 89117-7528 2017-04-27
1568993541 Brittany Groom Specialist/Technologist, Other 9811 W Charleston Blvd, Suite 2-641, Las Vegas, NV 89117-7528 2017-03-22
1871033977 K'leigh Ryzner Specialist/Technologist, Other 9811 W Charleston Blvd, Suite 2-641, Las Vegas, NV 89117-7528 2017-03-08
1760927008 Rayen Patnaik Specialist/Technologist, Other 9811 W Charleston Blvd, Suite 2-641, Las Vegas, NV 89117-7528 2016-12-22
1194269753 Jessica Zarlengo Specialist/Technologist, Other 9811 W Charleston Blvd, Las Vegas, NV 89117-7528 2016-12-15
1437693033 Paul Hunter Specialist/Technologist, Other 9811 W Charleston Blvd, Las Vegas, NV 89117-7528 2016-12-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962016923 Nick Marte Massage Therapist 8321 W Sahara Ave 2057, Las Vegas, NV 89117 2020-09-06
1831709740 Marizel Yukee Nurse Practitioner 3086 Lapis Beach Dr, Las Vegas, NV 89117 2020-08-05
1336762525 Mashiko Jenny Tavares Sleep Specialist, PhD 1711 Songlight Court, Las Vegas, NV 89117 2020-05-21
1235772849 Cornelia Darlau Counselor 2753 Lodestone Drive, Las Vegas, NV 89117 2019-10-26
1861034837 Luz Aguirre Technician 9105 Quiet Cove Way, Las Vegas, NV 89117 2019-10-11
1043778566 Maggie Lynn Steel Occupational Therapist 7621 W Charleston Blvd, Unit 101, Las Vegas, NV 89117 2019-03-04
1154805356 Joyce Ingram Counselor 8600 Starboard Dr Apt 2100, Las Vegas, NV 89117 2018-09-24
1356823421 Pari Garza Chore Provider 9825 Paseo Cresta Ave., Las Vegas, NV 89117 2018-09-05
1235624297 Creative Family Health & Wellness Center Case Management 6849 W Charleston Blvd Ste B, Las Vegas, NV 89117 2018-06-22
1790272524 Las Vegas Sleep Center ( Shamiya) Pllc Clinic/Center 2400 S Cimarron Rd, Suite 130, Las Vegas, NV 89117 2018-04-17
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

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1740766005 Dr. Don Pepito, LLC Internal Medicine 9315 W Sunset Rd Ste 100, Las Vegas, NV 89148-5012 2018-07-19
1780139170 J & Y Wellness Group Inc Internal Medicine 18 Moonfire Dr, Las Vegas, NV 89135-7800 2016-08-16
1265706238 Touro University Internal Medicine 3985 S Pearl St, Regency Palms, Las Vegas, NV 89121-7205 2012-03-08
1548556897 Sophie Kao Chwa Internal Medicine 6900 N.pecos Road, Las Vegas, NV 89086 2011-06-24
1831498526 Touro University Internal Medicine 3890 N. Buffalo Drive, Willow Creek Assisted Living Fac, Las Vegas, NV 89129-8809 2011-03-21
1477852168 Touro University Internal Medicine 8720 W. Flamingo Road, Heritage Springs Senior Living, Las Vegas, NV 89147-8684 2011-03-21
1285933978 Touro University Internal Medicine 9100 W. Desert Inn Ave., Aegis of Las Vegas, Las Vegas, NV 89117-6323 2011-03-21
1205135043 Touro University Internal Medicine 3351 N. Buffalo Dr, Willow Creek Memory Care@buffalo, Las Vegas, NV 89129-6283 2011-03-18
1265731152 Touro University Internal Medicine Willow Creek Al -san Martin, 8374 W. Capovilla Ave, Las Vegas, NV 89113-3305 2011-03-18
1871892885 Touro University Internal Medicine 7230 Gagnier Blvd, Willow Creek Memory Care-san Martin, Las Vegas, NV 89113-4400 2011-03-17
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Competitor

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City LAS VEGAS
Zip Code 89117

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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