OrganizationActive
Mgg and Groups
NPI 1033617824 · General Practice Physician · Las Vegas, NV
Provider details
- NPI number
- 1033617824
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary-Grace Gaerlan, Owner(702) 434-5114
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2255 Renaissance Dr Ste C
Las Vegas, NV 89119-6751
Phone: (702) 434-5114
Street-level locationGet directions
Mailing address
2255 Renaissance Dr Ste C
Las Vegas, NV 89119-6751
Registry dates
- Enumerated
- 2018-01-26
- Last updated
- 2020-03-11
- Certified
- 2020-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.