| Jim C Chiang Md Ltd | |
|
895 Adams Blvd Boulder City NV 89005 | |
| (702) 293-0406 | |
| (702) 293-0192 |
| Full Name | Jim C Chiang Md Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 895 Adams Blvd, Boulder City, Nevada |
| Authorized Official Name and Position | Jim C Chiang (MD) |
| Authorized Official Contact | 7022930406 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jim C Chiang Md Ltd 895 Adams Blvd Boulder City NV 89005 Ph: (702) 293-0406 | Jim C Chiang Md Ltd 895 Adams Blvd Boulder City NV 89005 Ph: (702) 293-0406 |
| NPI Number | 1710161518 |
|---|---|
| Provider Enumeration Date | 12/28/2007 |
| Last Update Date | 08/30/2023 |
| Medicare PECOS PAC ID | 9931128378 |
|---|---|
| Medicare Enrollment ID | O20051115000972 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710161518 | NPI | - | NPPES |
| 1001507463 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11503 (Nevada) | Primary |
| Provider Name | James Chiang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306816566 PECOS PAC ID: 8921027368 Enrollment ID: I20051115001001 |
| Provider Name | Devona L Fagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013167402 PECOS PAC ID: 8426110693 Enrollment ID: I20131115000428 |
Joanne Grace Leovy Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 895 Adams Blvd, Boulder City, NV 89005 Phone: 702-293-0406 Fax: 702-293-0192 | |
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Family Doctors Of Boulder City Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 895 Adams Blvd, Boulder City, NV 89005 Phone: 702-293-0406 Fax: 702-293-0192 | |
Harry N. Pepe Jr. Do, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 550 California Ave, Boulder City, NV 89005 Phone: 702-376-7016 Fax: 702-433-0908 | |
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