Healthcare Provider Details

I. General information

NPI: 1932425410
Provider Name (Legal Business Name): YI MCWHORTER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: YI JIANG

II. Dates (important events)

Enumeration Date: 04/09/2010
Last Update Date: 01/31/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6402 MCLEOD DR SUITE 2
LAS VEGAS NV
89120
US

IV. Provider business mailing address

YI MCWHORTER DO PO BOX 93358
LAS VEGAS NV
89193-3358
US

V. Phone/Fax

Practice location:
  • Phone: 702-487-6510
  • Fax: 702-405-7960
Mailing address:
  • Phone: 702-487-6510
  • Fax: 702-405-7960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number2014007082
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number2037
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number2014007082
License Number StateMO
# 4
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number13807
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberDO2037
License Number StateNV
# 6
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number2037
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: