Active NPI 1790458552 Individual Practitioner Female Practitioner

Lee Thi Phan , PA

Physician Assistant - Surgical • Henderson, NV

Professional Overview & Biography Verified Profile Summary

Lee Phan, PA is a registered healthcare professional specializing in Physician Assistant - Surgical in Henderson, NV. Practice services are available at 2839 SAINT ROSE PKWY STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2839 Saint Rose Pkwy Ste 100

Henderson, NV 890524849

Telephone 0283789887

Fax 7028378988

Associated Practice Facility / Clinic

🏢 Curt Samlaska Ltd Academic Dermatology Of Nevada Facility NPI 1154016665

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Henderson, NV

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 19.0 Yrs

State Avg: 14.3 Yrs

Regional Practice Density

10 Specialists

Practicing in Henderson, NV (106 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-24

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License NV PA2950

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Andrew Rackham , PA

Physician Assistant - Surgical

NPI 1831556190

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location November 27, 2024

Registered at 2839 SAINT ROSE PKWY STE 100, HENDERSON, NV 890524849 (Tel: 0283789887)

📍

Updated Business Mailing Address November 27, 2024

Registered at 2839 SAINT ROSE PKWY STE 100, HENDERSON, NV 890524849 (Tel: 7028378988)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2024

Physician Assistant (License #PA2950 in NV)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2021

Physician Assistant (License #PA9114459 in FL)

✅

NPI Profile Active July 28, 2021

NPI status registered as active in NPPES database

📍

Updated Practice Location July 28, 2021

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

📍

Updated Business Mailing Address July 28, 2021

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

👤

Provider Name / Credentials Updated July 28, 2021

Recorded as LEE PHAN, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2021

Physician Assistant

🟢

Initial NPI Registration & Enumeration July 28, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1790458552

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 28, 2021

Last Update: March 24, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2839 Saint Rose Pkwy Ste 100

Henderson, NV 890524849

Phone: 7028378988

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.