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MARK JAY NISGORE PA C NPI 1699763466


NPI Information

NPI: 1699763466
Provider Name: MARK JAY NISGORE, PA C
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
Address:
1430 E CALVADA BLVD
STE 100
PAHRUMP, NV
ZIP 89048
Phone: (775) 751-1555
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Mark Jay Nisgore, PA C is a physician assistant in Pahrump, NV. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Mark Jay Nisgore, PA C NPI is 1699763466. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1430 E CALVADA BLVD
STE 100
PAHRUMP, NV
ZIP 89048-824
Phone: (775) 751-1555
Fax: (775) 751-1551

The enumeration date for this NPI number is 10/6/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantPA737NEVADAYes
2363AM0700XPhysician AssistantMedicalPA737NEVADAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1R86535MEDICARE UPIN
2100332MEDICARE ID-TYPE UNSPECIFIEDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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