Jonathan G Bellew (NPI# 1417103094, PAC ID# 0042350068) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1417103094 |
| PAC ID by PECOS | 0042350068 |
| Professional Enrollment ID | I20091222000484 |
| Full Name | Jonathan G Bellew |
| Organization Legal Name | JALDEEP H DAULAT DO PROFESSIONAL CORPORATION |
| Address |
3650 S Point Cir Suite 106 Laughlin NV 89029-0422 |
| Phone Number | 7022541425 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 6406830751 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030117 | VALLEY VIEW MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2350 Miracle Mile, Bullhead City, AZ 86442-7505 | 7022541588 | JALDEEP H DAULAT DO PROFESSIONAL CORPORATION |
| 1801 Mesquite Ave, Lake Havasu City, AZ 86403-5668 | 8004478405 | JALDEEP H DAULAT DO PROFESSIONAL CORPORATION |
| 2010 Injo Dr, Lake Havasu City, AZ 86403-5707 | 7022541588 | JALDEEP H DAULAT DO PROFESSIONAL CORPORATION |
| 3650 S Point Cir, Suite 106, Laughlin, NV 89029-0422 | 7022541425 | JALDEEP H DAULAT DO PROFESSIONAL CORPORATION |
| Organization Legal Name | JALDEEP H DAULAT DO PROFESSIONAL CORPORATION |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexis D Elliott | Physician Assistant | Jaldeep H Daulat Do Professional Corporation | 1815 N Stockton Hill Rd, Kingman, AZ 86401-4667 |
| Clinton R Martin | Physician Assistant | Jaldeep H Daulat Do Professional Corporation | 3650 S Point Cir, Suite 106, Laughlin, NV 89029-0422 |
| Chad R Taylor | Dermatology | Jaldeep H Daulat Do Professional Corporation | 1815 N Stockton Hill Rd, Kingman, AZ 86401-4667 |
| Street Address |
3650 S POINT CIR SUITE 106 |
| City | LAUGHLIN |
| State | NV |
| Zip | 89029-0422 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clinton R Martin | Physician Assistant | Jaldeep H Daulat Do Professional Corporation | 3650 S Point Cir, Suite 106, Laughlin, NV 89029-0422 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frederick E Dreyer | Family Medicine | Bullhead City Clinic Corp | 1955 S Casino Dr, Suite 118, Laughlin, NV 89029-1549 |
| Crystal Laura Voigt | Nurse Practitioner | Bullhead City Clinic Corp | 1955 S Casino Dr, Suite 118, Laughlin, NV 89029-1549 |
| City | LAUGHLIN |
| Zip Code | 89029 |
| Specialty | DERMATOLOGY |
| City + Specialty | LAUGHLIN + DERMATOLOGY |
Please comment or provide details below to improve the information on Jonathan G Bellew.
| 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.