Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jordan Spoon, PAC

Individual provider Physician Assistant · NPI 1265807770

Jordan Spoon, PAC is a Physician Assistant in Las Vegas, Nevada. Qualified in 2015, 11 years ago. Practices with Thomas Dermatology, a 33-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
11
Licensed in
NV
In the registry since
2015
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

9097 W Post Rd Ste 100
Las Vegas, NV 89148-2449
Phone: (702) 430-5333
Fax: (702) 430-5335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1681 (NV)

Record details

NPI number1265807770
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedDecember 9, 2015
Last updated in NPPESDecember 9, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Thomas Dermatology — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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