GWC DO PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DO1669 Issued in NV

Legal business name

GWC DO PC

Practice address

6970 W Patrick LN
#140
Las Vegas, NV 89113-0269

Phone

(702) 450-1717

Fax

(702) 947-6740

NPI assigned

May 7, 2012

Organization subpart

No

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

Authorized official

Name

Gar Win Chung, DONPI 1013147099

Title

President

Phone

(702) 450-1717

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 1

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

• Gar Win Chung, D.O.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1013147099
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1871852103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6970 W PATRICK LN",
            "address_2": "#140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130269",
            "telephone_number": "702-450-1717",
            "fax_number": "702-947-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6970 W PATRICK LN",
            "address_2": "#140",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130269",
            "telephone_number": "702-450-1717",
            "fax_number": "702-947-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWC DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "GAR",
        "authorized_official_middle_name": "WIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-450-1717",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "DO1669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Janet Guzman
• Cyrus Guzon
• Denice Rachel Guzzardo, PA
• Desaree Guzzo
• GWB Tech Corp
• Migum Gweon, LMFT
• Kareem Jabraun Gwinn
• Sheranda Lynn Gwinn
• Nicole Folani Gwyn
• Andrew Agyei Gyang, M.D

• 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 May 7, 2012; 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.