Kochy M Y Tang DO a Professional Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KOCHY M Y TANG DO A PROFESSIONAL CORPORATION

Doing business as

M Family Care

Practice address

12300 Las Vegas Blvd S
Las Vegas, NV 89044-9506

Phone

(702) 837-1265

Fax

(702) 837-1706

NPI assigned

Sep 21, 2009

Last updated

Aug 2, 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

Kochy Y Tang, DONPI 1902826365

Title

President

Phone

(702) 837-1265

Specialties & licenses 2

Addresses

Other names 1

• M FAMILY CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Kochy Y Tang, DO

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1902826365
  Medicare reassignment NPD Authorized official
• Leah B Henry, APN

  • Primary Care Nurse Practitioner
  • Henderson, NV
  • NPI 1629372305
  NPD (past)
• James J. Metcalf, DO

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1356380968
  NPD (past)

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1730413972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230181",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891050181",
            "telephone_number": "702-837-1265",
            "fax_number": "702-837-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 LAS VEGAS BLVD S",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "890449506",
            "telephone_number": "702-837-1265",
            "fax_number": "702-837-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOCHY M Y TANG DO A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "KOCHY",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-837-1265",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M FAMILY CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "M FAMILY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marie Kristina Fornillos Koch
• Michael Joseph Koch, DC
• Warren Douglas Koch, LMSW
• Zoie Koch, OTD, OTR/L
• Quierra C Kocher, RN
• Sydni Kocka
• Danielle Kockos
• Laura Jane Kodama, RPH
• Keshavan Kodandapani, APN
• Rachael Kodya, RN

• Family Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.