Marie Lourdes Tan Ynson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20600 Issued in NV

Practice address

10624 S Eastern Ave Ste A955
Henderson, NV 89052-2982

Phone

(702) 800-5393

NPI assigned

Jun 21, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, GU2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Internal Medicine

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Guam Healthcare Development IncorporatedGroup PAC ID 9234351776, 211 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Guam Regional Medical City Hospital, Dededo, GU, CCN 650003

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Guam Healthcare Development Incorporated

  • Clinic/Center
  • Dededo, GU
  • NPI 1326447939
  Medicare reassignment Care Compare group NPD
• Platinum Hospitalists LLP

  • Hospitalist Physician
  • Henderson, NV
  • NPI 1861627242

  Internal Medicine

  Medicare reassignment NPD
• CTD Network LLC

  • Multi-Specialty Clinic/Center
  • Plant City, FL
  • NPI 1851039762

  NV

  Medicare reassignment NPD
• Golden Days Behavioral Center LLC

  • Community Health Clinic/Center
  • Las Vegas, NV
  • NPI 1861033649
  NPD
• Platinum Hospitalists LLP

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1437948726
  NPD
• Empire Health Systems

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1134856982
  NPD (past)
• Guam Healthcare Development Incorporated

  • General Acute Care Hospital
  • Dededo, GU
  • NPI 1194159525
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Guam Healthcare Development Incorporated

  • General Acute Care Hospital
  • Dededo, GU
  • NPI 1194159525
  Care Compare affiliation

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1881915239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10624 S EASTERN AVE STE A955",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522982",
            "telephone_number": "702-800-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10624 S EASTERN AVE STE A955",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522982",
            "telephone_number": "702-800-5393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Woodland St",
            "address_2": "Department of Medicine",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061051208",
            "country_code": "US",
            "telephone_number": "860-714-7446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1775 E Tropicana Ave Ste 16",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891196557",
            "country_code": "US",
            "telephone_number": "702-266-7277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 Bear Mountain Blvd",
            "address_purpose": "LOCATION",
            "city": "Arvin",
            "state": "CA",
            "postal_code": "932031231",
            "country_code": "US",
            "telephone_number": "661-854-3131",
            "fax_number": "661-854-2689",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1360 Valley Vista Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Diamond Bar",
            "state": "CA",
            "postal_code": "917653953",
            "country_code": "US",
            "telephone_number": "909-345-5099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YNSON",
        "first_name": "MARIE LOURDES",
        "middle_name": "TAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C150062",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GU",
            "license": "M-2412",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "20600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Henderson, NV
• Providers in Henderson, 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 Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.