1376891572 NPI number — NORTHERN NEVADA MEDICAL GROUP, LLC

Table of content: (NPI 1376891572)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376891572 NPI number — NORTHERN NEVADA MEDICAL GROUP, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTHERN NEVADA MEDICAL GROUP, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376891572
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/27/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
367 S GULPH RD
Provider Second Line Business Mailing Address:
C/O REIMBURSEMENT
Provider Business Mailing Address City Name:
KING OF PRUSSIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19406-3121
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-382-4351
Provider Business Mailing Address Fax Number:
775-356-5590

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2385 E PRATER WAY
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
SPARKS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89434-9629
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-356-4888
Provider Business Practice Location Address Fax Number:
775-356-4890
Provider Enumeration Date:
08/17/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
EVANS
Authorized Official First Name:
TODD
Authorized Official Middle Name:
Authorized Official Title or Position:
VICE-PRESIDENT
Authorized Official Telephone Number:
610-768-3300

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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