Geriatric Medical Associates of Nevada LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

1024 Issued in NV

Legal business name

GERIATRIC MEDICAL ASSOCIATES OF NEVADA LLC

Practice address

9811 W Charleston Blvd
Suite# 2-304
Las Vegas, NV 89117-7528

Phone

(702) 464-7855

NPI assigned

Aug 6, 2008

Organization subpart

No

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

Authorized official

Name

Mike Y Jeong, DONPI 1144251075

Title

President

Phone

(702) 443-6054

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Tax ID family

Geriatric Medical Associates of Nevada LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Geriatric Medical Associates of Nevada LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Las Vegas, NV
  • NPI 1295986214
  NPD tax ID

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mike Y Jeong, DO

  • Geriatric Medicine (Internal Medicine) Physician
  • Las Vegas, NV
  • NPI 1144251075
  Medicare reassignment Care Compare group Authorized official
• Maria Zarina Diao, NP

  • Family Nurse Practitioner
  • Henderson, NV
  • NPI 1861732976
  Medicare reassignment Care Compare group NPD
• Judith Bechler, APRN

  • Family Nurse Practitioner
  • Perrysburg, OH
  • NPI 1588105449

  NV

  Medicare reassignment NPD
• Clevis T. Parker Sr., MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Abilene, TX
  • NPI 1578525382

  NV

  Medicare reassignment NPD
• Melanie Masangkay Paluay, APRN-C

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1609456979
  Medicare reassignment
• Emilia Christina Bazan-Grow, DNP,FNP

  • Family Nurse Practitioner
  • Beaverton, OR
  • NPI 1902835275
  NPD (past)
• Norina Lora Nillas, NP

  • Registered Nurse
  • Santa Ana, CA
  • NPI 1144304569
  NPD (past)
• Marlyce E Parker, APN

  • Gerontology Nurse Practitioner
  • Bullhead City, AZ
  • NPI 1497726053
  NPD (past)
• Christine Peterson, NP

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1639199649
  NPD (past)
• Gary Allen Webb, M.D.

  • Family Medicine Physician
  • Naples, FL
  • NPI 1598705600
  NPD (past)

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1235395484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 W CHARLESTON BLVD",
            "address_2": "SUITE# 2-304",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177528",
            "telephone_number": "702-464-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9811 W CHARLESTON BLVD",
            "address_2": "SUITE# 2-304",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177528",
            "telephone_number": "702-464-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC MEDICAL ASSOCIATES OF NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "JEONG",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-443-6054",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NV",
            "license": "1024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammie Gerberding
• Michael Gere
• Liya Geremew
• Galina Gerevenko
• Grant D Gerhard
• Geriatric Medical Associates of Nevada LLC
• Geriatric Solutions LLC
• Jenna Gerke
• Sara Gerlicher
• Berthia Gerling

• Geriatric Medicine (Internal Medicine) Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Geriatric Medicine (Internal Medicine) Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.