Provider Demographics
NPI:1801839196
Name:MEIGS, GINA M (PA-C)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:M
Last Name:MEIGS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 400725
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89140-0725
Mailing Address - Country:US
Mailing Address - Phone:702-307-7700
Mailing Address - Fax:702-307-7942
Practice Address - Street 1:6070 S FORT APACHE RD STE 100
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-5615
Practice Address - Country:US
Practice Address - Phone:702-307-7700
Practice Address - Fax:703-307-7942
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPA930363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100508137Medicaid
NVP00278748OtherMC RR
NV1100790OtherGROUP
NV100508137Medicaid
NV1100790OtherGROUP