Jorge Burgos, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

10622 Issued in NV

Legal business name

JORGE BURGOS, MD

Practice address

6440 Sky Pointe Dr # 140-239
Las Vegas, NV 89131-4047

Phone

(702) 227-0022

NPI assigned

Aug 16, 2016

Organization subpart

No

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

Authorized official

Name

Stacy E. Flatt

Title

Credentialing Manager

Phone

(702) 463-9820

Specialties & licenses 1

Addresses

Tax ID family

Jorge Burgos MD2 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.

• Jorge Y Burgos MD PC

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1942463237
  NPD tax ID

Locations

Practitioners 1

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

• Jorge Y Burgos, MD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1639275969
  NPD

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1780139048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 E LAKE MEAD BLVD STE 314",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890307193",
            "telephone_number": "702-227-0022",
            "fax_number": "702-227-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 SKY POINTE DR # 140-239",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891314047",
            "telephone_number": "702-227-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE BURGOS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "FLATT",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "702-463-9820"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "10622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wess Michael Jordan, O.D.
• Jordana Noreen Cheta MD PLLC
• Areonna Jordon
• Joren LLC
• Maidelys Jorge Alvarez
• Jorge Jimenez-Marquez, DMD, PLLC
• Yosmel Jorge Rivero
• Jorge Y Burgos MD PC
• Gabriela Jorge
• Luis Jorge

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.