| Gary Skankey, Md, Pc | |
|
7200 Cathedral Rock Dr Ste 200 Las Vegas NV 89128-0430 | |
| (702) 723-4124 | |
| (702) 867-0066 |
| Full Name | Gary Skankey, Md, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7200 Cathedral Rock Dr Ste 200, Las Vegas, Nevada |
| Authorized Official Name and Position | Carla Revilla (MANAGER) |
| Authorized Official Contact | 7192293849 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Skankey, Md, Pc 7200 Cathedral Rock Dr Ste 200 Las Vegas NV 89128-0430 Ph: (702) 723-4124 | Gary Skankey, Md, Pc 7200 Cathedral Rock Dr Ste 200 Las Vegas NV 89128-0430 Ph: (702) 723-4124 |
| NPI Number | 1992231500 |
|---|---|
| Provider Enumeration Date | 05/03/2017 |
| Last Update Date | 02/23/2024 |
| Medicare PECOS PAC ID | 0244591436 |
|---|---|
| Medicare Enrollment ID | O20180305000889 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992231500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Gary R Skankey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1952386468 PECOS PAC ID: 2466466792 Enrollment ID: I20110201000304 |
| Provider Name | Jiji Ochoa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912390196 PECOS PAC ID: 2668786237 Enrollment ID: I20150728003725 |
| Provider Name | Tffany Liao |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447789235 PECOS PAC ID: 8820361900 Enrollment ID: I20170912002325 |
| Provider Name | Gregory Lawrence Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861009664 PECOS PAC ID: 6002228673 Enrollment ID: I20201224000389 |
| Provider Name | Tyler Ryan Lund |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760168769 PECOS PAC ID: 2466809033 Enrollment ID: I20231103003181 |
| Provider Name | Taylor Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245099084 PECOS PAC ID: 3870934342 Enrollment ID: I20240515001168 |
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