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NORTHERN NEVADA MEDICAL GROUP LLC NPI 1972751618


NPI Information

NPI: 1972751618
Provider Name: NORTHERN NEVADA MEDICAL GROUP, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2345 E PRATER WAY
SUITE 207
SPARKS, NV
ZIP 89434
Phone: (775) 352-5300
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NORTHERN NEVADA MEDICAL GROUP, LLC is a family medicine in Sparks, NV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NORTHERN NEVADA MEDICAL GROUP, LLC NPI is 1972751618. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2345 E PRATER WAY
SUITE 207
SPARKS, NV
ZIP 89434-600
Phone: (775) 352-5300
Fax: (775) 352-5334

The provider's authorized official is Todd Evans .
The authorized official title is Vp and has the following contact phone number (610) 768-3300.

The enumeration date for this NPI number is 9/6/2008 and was last updated on 8/17/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QS0010XFamily MedicineSports MedicineNo
2207R00000XInternal MedicineNo
3207RI0011XInternal MedicineInterventional CardiologyNo
42084N0400XPsychiatry & NeurologyNeurologyNo
5208600000XSurgeryNo
6208M00000XHospitalistNo
7213E00000XPodiatristNo
8207RC0000XInternal MedicineCardiovascular DiseaseNo
9207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
10363L00000XNurse PractitionerNo
11207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11972751618MEDICAIDNEVADA
2DO8810OTHERNEVADARR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.