MEDICARE: ERICA JO MCGEE PA-C

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	363AM0700X	Medical Physician Assistant	PA0394	NV

General Provider Information

NPI Number	:	1124536586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERICA JO MCGEE PA-C

Provider Business Mailing Address
First Line	:	1800 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2386
Country	:	US
Telephone Number	:	702-383-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-2329
Country	:	US
Telephone Number	:	702-383-1958
Fax Number	:	702-383-8235

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

Provider Enumeration Date	:	01/18/2018
Last Update Date	:	06/22/2026

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