Individual provider Active NPI

Matthew D McGauran, PA-C

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1942410865
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1044 Issued in NV
Practice address
9975 S Eastern Ave
Suite 110
Las Vegas, NV 89183-7949
Phone
(702) 361-2273
Fax
(702) 361-6885
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1044 NV Primary

Addresses

Primary practice location

9975 S Eastern Ave
Suite 110
Las Vegas, NV 89183-7949

Mailing address

PO Box 530010
Henderson, NV 89053-0010
Phone (702) 361-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070918000329 NV Practitioner - Physician Assistant 1254425572 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boulder City Hospital IncGroup PAC ID 7618953795, 6 clinicians

Practice addresses (Care Compare)

901 Adams Blvd
Boulder City, NV 89005-2213

901 Adams Blvd
Boulder City, NV 89005-2299

999 Adams Blvd
Suite 102
Boulder City, NV 89005-2245
Phone 7022934111563

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder City Hospital Inc. CurrentSince Mar 5, 2018 Accepting new patients
Boulder City Hospital Inc Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients
Inpatient Consultants of Nevada, Inc. a Medical Corporation Past Accepting new patients
North Vista Hospital LLC Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Desert View Regional Medical Center Holdings, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients
Henderson Hospital Past Accepting new patients
Boulder City Hospital Inc Past Accepting new patients
Dignity Health Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients

Locations

999 Adams Blvd
Boulder City, NV 89005
Phone (702) 293-4111

999 Adams Blvd
Ste 102
Boulder City, NV 89005
Phone (702) 293-4111

999 Adams Blvd
Ste 104
Boulder City, NV 89005
Phone (702) 243-6400

901 Adams Blvd
Boulder City, NV 89005
Phone (702) 293-4111

999 Adams Blvd
Ste 104105
Boulder City, NV 89005
Phone (702) 698-8342

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4
  • Direct secure messaging: matthew.mcgauran@bcp1.eclinicaldirectplus.com

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247011200000",
    "number": "1942410865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530010",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890530010",
            "telephone_number": "702-361-2273",
            "fax_number": "702-361-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9975 S EASTERN AVE",
            "address_2": "SUITE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891837949",
            "telephone_number": "702-361-2273",
            "fax_number": "702-361-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGAURAN",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2009-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.