NPIMap

Organization Active NPI

Jorgenson & Koka LLP

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1275798563
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JORGENSON & KOKA LLP
Practice address
9975 S Eastern Ave Ste 110
Las Vegas, NV 89183-7950
Phone
(702) 492-7208
Fax
(702) 407-5645
NPI assigned
Jul 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Craig M Jorgenson, MD
Title
Managing Partner
Phone
(702) 361-2273

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

9975 S Eastern Ave Ste 110
Las Vegas, NV 89183-7950

Mailing address

9975 S Eastern Ave Ste 110
Las Vegas, NV 89183-7950
Phone (702) 492-7208

Other names 1

  • PRIMARY CARE CONSULTANTS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Advanced Urgent Care and Nightlight Pediatrics5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1275798563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9975 S EASTERN AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837950",
            "telephone_number": "702-492-7208",
            "fax_number": "702-407-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9975 S EASTERN AVE STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837950",
            "telephone_number": "702-492-7208",
            "fax_number": "702-407-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGENSON & KOKA LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "JORGENSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "702-361-2273",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIMARY CARE CONSULTANTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.