MEDICARE: CRAIG M JORGENSON MD LTD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	363AM0700X	Medical Physician Assistant
3	363L00000X	Nurse Practitioner
4	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1831261460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRAIG M JORGENSON MD LTD

Provider Business Mailing Address
First Line	:	1000 N GREEN VALLEY PKWY STE 440-127
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89074-6170
Country	:	US
Telephone Number	:	702-233-3191
Fax Number	:	702-407-5645

Provider Business Practice Location Address
First Line	:	3830 E FLAMINGO RD # 201
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-6234
Country	:	US
Telephone Number	:	702-659-5604
Fax Number	:	702-660-6186

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CRAIG M JORGENSON
Credential	:	MD
Telephone Number	:	702-279-6977

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	08/06/2025

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