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WESTERN NEVADA FOOT AND ANKLE CENTER NPI 1912027988


NPI Information

NPI: 1912027988
Provider Name: WESTERN NEVADA FOOT AND ANKLE CENTER
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
15 MCCABE DR
SUITE 203
RENO, NV
ZIP 89511
Phone: (775) 284-3668
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WESTERN NEVADA FOOT AND ANKLE CENTER is a podiatrist in Reno, 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. WESTERN NEVADA FOOT AND ANKLE CENTER NPI is 1912027988. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15 MCCABE DR
SUITE 203
RENO, NV
ZIP 89511-991
Phone: (775) 284-3668
Fax: (775) 284-4254

The provider's authorized official is Timothy Mooney .
The authorized official title is President and has the following contact phone number (775) 284-3668.

The enumeration date for this NPI number is 3/30/2007 and was last updated on 7/15/2010.


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
1213E00000XPodiatristYes

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
15693970001MEDICARE NSCNEVADA
2DE5177OTHERNEVADARAILROAD MEDICARE PIN
3V101133MEDICARE ID-TYPE UNSPECIFIEDNEVADA

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

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