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SIERRA PODIARTY CENTER NPI 1639306590


NPI Information

NPI: 1639306590
Provider Name: SIERRA PODIARTY CENTER
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1801 N CARSON ST
CARSON CITY, NV
ZIP 89701
Phone: (775) 882-1441
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SIERRA PODIARTY CENTER is a podiatrist in Carson City, NV. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. SIERRA PODIARTY CENTER NPI is 1639306590. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1801 N CARSON ST
CARSON CITY, NV
ZIP 89701-216
Phone: (775) 882-1441
Fax: (775) 882-6844

The provider's authorized official is Jeffrey K Bean .
The authorized official title is Owner/doctor and has the following contact phone number (775) 882-1441.

The enumeration date for this NPI number is 6/18/2009 and was last updated on 6/24/2009.


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
1213E00000XPodiatrist0101NEVADAYes

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
15525600001MEDICARE NSCNEVADA

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: 4/28/2024

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