Craig M Jorgenson (NPI# 1588646830, PAC ID# 9830092295) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1588646830 |
PAC ID by PECOS | 9830092295 |
Professional Enrollment ID | I20050929000603 |
Full Name | Craig M Jorgenson |
Organization Legal Name | CRAIG M JORGENSON MD LTD |
Address |
9975 S Eastern Ave Suite 110 Las Vegas NV 89183-7950 |
Phone Number | 7024927208 |
Gender | M |
Credential | MD |
Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
Graduation Year | 1997 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 0941103303 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
291309 | BOULDER CITY HOSPITAL |
290045 | ST ROSE DOMINICAN HOSPITALS - SIENA CAMPUS |
Address | Phone | Organization |
---|---|---|
6330 S Jones Blvd, Las Vegas, NV 89118-3302 | 7028807002 | NCC HOUSE CALLS LLC |
9975 S Eastern Ave, Suite 110, Las Vegas, NV 89183-7950 | 7024927208 | CRAIG M JORGENSON MD LTD |
9975 S Eastern Ave, Suite 110, Las Vegas, NV 89183-7950 | 7023612273 | JORGENSON AND KOKA LLP |
Organization Legal Name | CRAIG M JORGENSON MD LTD |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ilir Manaj | Nurse Practitioner | Craig M Jorgenson Md Ltd | 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 |
Lauren V Abela | Physician Assistant | Craig M Jorgenson Md Ltd | 901 Adams Blvd, Boulder City, NV 89005-2213 |
William D Kelley | Physician Assistant | Craig M Jorgenson Md Ltd | 901 Adams Blvd, Boulder City, NV 89005-2213 |
Nickolas Karajohn | Family Practice | Craig M Jorgenson Md Ltd | 2325 E Harmon Ave, Las Vegas, NV 89119-7848 |
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 |
Humberto Rodriguez | General Practice | 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 |
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 | INTERNAL MEDICINE |
City + Specialty | LAS VEGAS + INTERNAL 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.