Provider Demographics
NPI:1932425410
Name:MCWHORTER, YI (DO)
Entity Type:Individual
Prefix:MRS
First Name:YI
Middle Name:
Last Name:MCWHORTER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:YI
Other - Middle Name:
Other - Last Name:JIANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:YI MCWHORTER DO
Mailing Address - Street 2:PO BOX 93358
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89193-3358
Mailing Address - Country:US
Mailing Address - Phone:702-487-6510
Mailing Address - Fax:702-405-7960
Practice Address - Street 1:6402 MCLEOD DR
Practice Address - Street 2:SUITE 2
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120
Practice Address - Country:US
Practice Address - Phone:702-487-6510
Practice Address - Fax:702-405-7960
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-09
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014007082207LC0200X, 207L00000X
NV2037207LC0200X, 207L00000X
CA13807207L00000X
NVDO2037207LC0200X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program