1972012292 NPI number — JAMES PAPPAS MD RURAL NEVADA, LTD.

Table of content: (NPI 1972012292)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972012292 NPI number — JAMES PAPPAS MD RURAL NEVADA, LTD.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JAMES PAPPAS MD RURAL NEVADA, LTD.
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:
1972012292
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/29/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5255 LONGLEY LANE
Provider Second Line Business Mailing Address:
SUITE 140
Provider Business Mailing Address City Name:
RENO
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89511-2340
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
775-322-1200
Provider Business Mailing Address Fax Number:
775-322-1241

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2213 N 5TH ST STE B
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELKO
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89801-2471
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-322-1200
Provider Business Practice Location Address Fax Number:
775-322-1241
Provider Enumeration Date:
09/29/2017

Additional Information

Authorized Official

Authorized Official Last Name:
PAPPAS
Authorized Official First Name:
JAMES
Authorized Official Middle Name:
NICHOLAS
Authorized Official Title or Position:
OWNER / M.D.
Authorized Official Telephone Number:
775-322-1200

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com