George Tan MD PLLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

GEORGE TAN MD PLLC

Doing business as

Vegas Digestive Health Center

Practice address

5119 Camino Al Norte
North Las Vegas, NV 89031-2373

Phone

(702) 625-8989

Fax

(702) 331-3115

NPI assigned

Jan 27, 2022

Last updated

Nov 28, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ivy Tan, DNPNPI 1982833281

Title

Manager

Phone

(702) 625-8989

Specialties & licenses 2

Addresses

Other names 1

• VEGAS DIGESTIVE HEALTH CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ivy Ying Tan, FNP, DNP

  • Family Nurse Practitioner
  • North Las Vegas, NV
  • NPI 1982833281
  Medicare reassignment NPD Authorized official
• George Tan, M.D.

  • Gastroenterology Physician
  • North Las Vegas, NV
  • NPI 1205071677
  Medicare reassignment NPD
• Meygan Martinez

  • Physician Assistant
  • North Las Vegas, NV
  • NPI 1629851522
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1225781636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5119 CAMINO AL NORTE STE 100",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890312373",
            "telephone_number": "702-625-8989",
            "fax_number": "702-331-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5119 CAMINO AL NORTE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312373",
            "telephone_number": "702-625-8989",
            "fax_number": "702-331-3115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Bertha Howe Ave Ste 8",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "NV",
            "postal_code": "890277503",
            "country_code": "US",
            "telephone_number": "702-346-1700",
            "fax_number": "702-331-3115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GEORGE TAN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-625-8989",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VEGAS DIGESTIVE HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VEGAS DIGESTIVE HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Genesis Vida Health Services
• Thomas Gennaro II
• Gentle Minds of Nevada LLC
• Gentle Touch Behavioral Health LLC
• Eric Gentle, DO, MHS
• Laderia George
• Miquel Tanyette George, LICSW
• Terry George
• Samantha Geraili, NBC-HWC
• Jenna Ghanaim, PHARMD

• Gastroenterology Physician in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Gastroenterology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.