DR. ANGELO W KANELLOS (NPI# 1013008135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013008135 |
| Entity Type | Individual |
| Full Name | DR. ANGELO W KANELLOS |
| Credential | M.D. |
| Practice Address |
10745 Double R Blvd Reno NV 89521-8979 |
| Mailing Address |
5560 Kietzke Ln Bldg A Reno NV 89511-3019 |
| Practice Telephone | 7758506500 |
| Practice Fax Number | 7758506501 |
| Mailing Telephone | 7753227811 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 6421 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 0020-16386 | 05 |
| Street Address |
10745 DOUBLE R BLVD |
| City | RENO |
| State | NV |
| Zip Code | 89521-8979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437711330 | Lexi Sara Jacobson | Urology | 10745 Double R Blvd, Reno, NV 89521-8979 | 2019-07-01 |
| 1316162795 | Urology Nevada, Ltd. | Durable Medical Equipment & Medical Supplies | 10745 Double R Blvd, Reno, NV 89521-8979 | 2007-04-13 |
| 1922199041 | John A Freeman | Urology | 10745 Double R Blvd, Reno, NV 89521-8979 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003266032 | Matthew Gordon | Family Medicine | 10539 Professional Cir Ste 200, Reno, NV 89521 | 2016-06-21 |
| 1003297219 | Erin Snell | Social Worker | 2374 Cartwright Rd, Reno, NV 89521 | 2015-06-12 |
| 1649696766 | Passport Health Holdings, LLC. | Preventive Medicine | 9190 Double Diamond Parkway, # 131, Reno, NV 89521 | 2014-03-13 |
| 1538585146 | Francis Thomas Webb | Chiropractor | 9393 Gateway Drive, Suite L, Reno, NV 89521 | 2014-03-07 |
| 1811336753 | Hans Peter Gray | Dentist | 1141 Steamboat Pkwy Ste 900, Reno, NV 89521 | 2013-06-24 |
| 1194162990 | Nevada Speech and Therapy Group | Speech-Language Pathologist | 1380 High Chaparral Drive, Reno, NV 89521 | 2013-06-03 |
| 1881934834 | Cindy Lynn Barnes | Occupational Therapist | 1600 Mountain Lane, Reno, NV 89521 | 2013-02-27 |
| 1508105016 | Shannon Marie Servi | Social Worker | 9060 Double Diamond Pkwy # 2-b, Reno, NV 89521 | 2013-02-04 |
| 1376853028 | Steven Michael Bilach | Specialist/Technologist, Other | 15025 Tourmaline Dr, Reno, NV 89521 | 2010-10-15 |
| 1528377512 | Kendra Brooks Newsome | Behavioral Analyst | 9408 Double R. Suite B, Reno, NV 89521 | 2010-09-24 |
| Find all providers in zip 89521 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336259183 | Nevada Urology Associates | Urology | 699 Sierra Rose Dr Ste A, Reno, NV 89511-2069 | 2006-08-30 |
| 1770540064 | Joseph B Drew | Urology | 5560 Kietzke Ln, Bldg A, Reno, NV 89511-3019 | 2006-04-28 |
| 1437116704 | Christine N Lajeunesse | Urology | 1490 Stardust St, Reno, NV 89503-4238 | 2006-04-28 |
| 1518924943 | Steven L Moss | Urology | 1500 E Second St, Suite 300, Reno, NV 89502-1198 | 2006-04-28 |
| 1841257235 | Jonathan S Garey-sage | Urology | 5560 Kietzke Ln., Bldg. A, Reno, NV 89511 | 2006-04-28 |
| 1477510865 | Thomas W Brady | Urology | 1500 E Second St., Suite 300, Reno, NV 89502-1198 | 2006-04-28 |
| 1669439048 | John G Scott | Urology | 5560 Kietzke Ln Bldg A, Reno, NV 89511-3019 | 2006-04-28 |
| 1437711330 | Lexi Sara Jacobson | Urology | 10745 Double R Blvd, Reno, NV 89521-8979 | 2019-07-01 |
| 1821564360 | Jamie Peatrowsky | Urology | 5560 Kietzke Ln, Bldg A, Reno, NV 89511 | 2018-10-23 |
| 1407275209 | Ross Anderson | Urology | 5560 Kietzke Ln Bldg A, Reno, NV 89511-3019 | 2014-04-09 |
| Find all providers in RENO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.