MEDICARE: HEALTHCARE PARTNERS MEDICAL GROUP COATS LTD.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number State
1	207N00000X	Dermatology Physician	NV
2	207R00000X	Internal Medicine Physician	NV
3	207RC0000X	Cardiovascular Disease Physician	NV
4	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	NV
5	207RH0003X	Hematology & Oncology Physician	NV
6	208000000X	Pediatrics Physician	NV
7	2083X0100X	Occupational Medicine Physician	NV
8	2085R0001X	Radiation Oncology Physician	NV
9	208M00000X	Hospitalist Physician	NV
10	213ES0103X	Foot & Ankle Surgery Podiatrist	NV
11	247100000X	Radiologic Technologist	NV
12	363AM0700X	Medical Physician Assistant	NV
13	363LP2300X	Primary Care Nurse Practitioner	NV
14	207Q00000X	Family Medicine Physician	NV

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1043533383
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHCARE PARTNERS MEDICAL GROUP COATS LTD.

Provider Business Mailing Address
First Line	:	PO BOX 98978
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89193-8978
Country	:	US
Telephone Number	:	702-216-3346
Fax Number	:	702-671-6883

Provider Business Practice Location Address
First Line	:	700 E WARM SPRINGS RD STE 230
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4324
Country	:	US
Telephone Number	:	702-216-3346
Fax Number	:	702-671-6883

Authorized Official
Title or Position	:	PRESIDENT
Name	:	H. BARD COATS
Credential	:	M.D.
Telephone Number	:	702-213-3346

Provider Enumeration Date	:	03/01/2010
Last Update Date	:	03/23/2021

4324 S EASTERN AVE , SUITE A
LAS VEGAS, NV
89119-6016

Practice Phone: 702-734-9585
Practice Fax: 702-734-9518