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DESERT SAGE MEDICAL NPI 1881693570


NPI Information

NPI: 1881693570
Provider Name: DESERT SAGE MEDICAL
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
844 W NYE LN
#201
CARSON CITY, NV
ZIP 89703
Phone: (775) 884-2929
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DESERT SAGE MEDICAL is a family medicine in Carson City, 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. DESERT SAGE MEDICAL NPI is 1881693570. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

844 W NYE LN
#201
CARSON CITY, NV
ZIP 89703-544
Phone: (775) 884-2929
Fax: (775) 884-0426

The provider's authorized official is John Kevin Bower .
The authorized official title is Owner and has the following contact phone number (775) 884-2929.

The enumeration date for this NPI number is 7/15/2005 and was last updated on 8/11/2008.


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
1207Q00000XFamily Medicine6493NEVADAYes

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
1E59028MEDICARE UPINNEVADA
2V31638MEDICARE ID-TYPE UNSPECIFIEDNEVADA
3V31637MEDICARE ID-TYPE UNSPECIFIEDNEVADA
4002013038MEDICAIDNEVADA

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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