MEDICARE: HEALTHCARE PARTNERS MEDICAL GROUP (COATS), LTD.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	207N00000X	Dermatology Physician	NV
2	208M00000X	Hospitalist Physician	NV
3	213E00000X	Podiatrist	NV
4	247100000X	Radiologic Technologist	NV
5	363AM0700X	Medical Physician Assistant	NV
6	363LP2300X	Primary Care Nurse Practitioner	NV
7	207R00000X	Internal Medicine Physician	NV
8	207RC0000X	Cardiovascular Disease Physician	NV
9	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	NV
10	208000000X	Pediatrics Physician	NV
11	2083X0100X	Occupational Medicine Physician	NV
12	207Q00000X	Family Medicine Physician	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	:	1235116716
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	:	595 W LAKE MEAD PKWY
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89015-7071
Country	:	US
Telephone Number	:	702-566-5500
Fax Number	:	702-558-7237

Authorized Official
Title or Position	:	PRESIDENT
Name	:	H BARD COATS
Credential	:
Telephone Number	:	702-216-3346

Provider Enumeration Date	:	12/27/2005
Last Update Date	:	03/23/2021

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Directions to “HEALTHCARE PARTNERS MEDICAL GROUP (COATS), LTD. ” Practice Location

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