Basic Information
| Provider Information | |||||||||
| NPI: | 1801839196 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MEIGS | ||||||||
| FirstName: | GINA | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 400725 | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891400725 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7023077700 | ||||||||
| FaxNumber: | 7023077942 | ||||||||
| Practice Location | |||||||||
| Address1: | 6070 S FORT APACHE RD STE 100 | ||||||||
| Address2: | |||||||||
| City: | LAS VEGAS | ||||||||
| State: | NV | ||||||||
| PostalCode: | 891485615 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7023077700 | ||||||||
| FaxNumber: | 7033077942 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/14/2006 | ||||||||
| LastUpdateDate: | 02/14/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/14/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | PA930 | NV | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
ID Information
| ID | Type | State | Issuer | Description | 100508137 | 05 | NV | MEDICAID | P00278748 | 01 | NV | MC RR | OTHER | 1100790 | 01 | NV | GROUP | OTHER |