MEDICARE: DR. JAMES CHADWICK PLAIRE M.D.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	9356	NV

Other Identifiers

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

General Provider Information

NPI Number	:	1104816248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES CHADWICK PLAIRE M.D.

Provider Business Mailing Address
First Line	:	6670 S TENAYA WAY
Second Line	:	SUITE 180
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-1966
Country	:	US
Telephone Number	:	702-369-4999
Fax Number	:	702-369-2993

Provider Business Practice Location Address
First Line	:	6670 S TENAYA WAY
Second Line	:	SUITE 180
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-1966
Country	:	US
Telephone Number	:	702-369-4999
Fax Number	:	702-369-2993

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2005
Last Update Date	:	02/03/2015

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