1871661728 NPI number — CARRIE MCELYEA BUEHLER MD

Table of content: CARRIE MCELYEA BUEHLER MD (NPI 1871661728)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871661728 NPI number — CARRIE MCELYEA BUEHLER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BUEHLER
Provider First Name:
CARRIE
Provider Middle Name:
MCELYEA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MCELYEA
Provider Other First Name:
CARRIE
Provider Other Middle Name:
ELIZABETH
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1871661728
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/06/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
300 SOUTH ARLINGTON AVENUE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RENO
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89501-2002
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
775-348-1900
Provider Business Mailing Address Fax Number:
775-348-1904

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
235 WEST 6TH STREET
Provider Second Line Business Practice Location Address:
SAINT MARYS REGIONAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
RENO
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89503-4548
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-770-3000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/30/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , with the licence number:  10903 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 100503985 , issued by the state of ( NV ) . This identifiers is of the category "MEDICAID".