MR. JERMAINE KAREEM FLANAGAN PA-C NPI 1710113196

NPI Information

NPI: 1710113196
Provider Name: MR. JERMAINE KAREEM FLANAGAN, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1111 N TOWN CENTER DR
LAS VEGAS, NV
ZIP 89144
Phone: (702) 562-7105
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MR. Jermaine Kareem Flanagan, PA-C is a medical physician assistant in Las Vegas, NV. MR. Jermaine Kareem Flanagan, PA-C NPI is 1710113196. 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:

1111 N TOWN CENTER DR
LAS VEGAS, NV
ZIP 89144-364
Phone: (702) 562-7105
Fax: (702) 562-7318

The NPI 1710113196 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/31/2009 and was last updated on 5/15/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA1160	NEVADA	Yes

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

NPI Synchronization or Removal

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