DR. JONATHAN P PEZANOSKI (NPI# 1053355545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053355545 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN P PEZANOSKI |
| Credential | MD |
| Practice Address |
10619 Professional Cir Reno NV 89521-5831 |
| Practice Telephone | 7758524848 |
| Practice Fax Number | 7758505763 |
| Mailing Telephone | 7758524848 |
| Mailing Fax Number | 7758505763 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
12280 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | GROUP MEDICARE PIN | VWCGZB | 01 |
| Street Address |
10619 PROFESSIONAL CIR |
| City | RENO |
| State | NV |
| Zip Code | 89521-5831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265418099 | Christi Matteoni | Internal Medicine | 10619 Professional Cir, Reno, NV 89521-5831 | 2005-12-22 |
| 1518440726 | Anna Kerfoot | Nurse Practitioner | 10619 Professional Cir, Reno, NV 89521-5831 | 2018-09-13 |
| 1295282093 | Darren Hill | Nurse Practitioner | 10619 Professional Cir, Reno, NV 89521-5831 | 2016-09-09 |
| 1053584631 | Tom Chi An Fang | Internal Medicine | 10619 Professional Cir, Reno, NV 89521-5831 | 2008-04-04 |
| 1891972758 | Jay Arackal Krishnan | Internal Medicine | 10619 Professional Cir, Reno, NV 89521-5831 | 2008-01-23 |
| 1992921316 | Timothy Eric Halterman | Internal Medicine | 10619 Professional Cir, Reno, NV 89521-5831 | 2007-04-17 |
| 1851444079 | South Meadows Endoscopy Center, LLC | Clinic/Center | 10619 Professional Cir, Reno, NV 89521-5831 | 2007-01-19 |
| 1922062215 | Loth Lieberstein | Internal Medicine | 10619 Professional Cir, Reno, NV 89521-5831 | 2006-04-13 |
| 1215916846 | Victor Kai-ping Chen | Internal Medicine | 10619 Professional Cir, Reno, NV 89521-5831 | 2006-01-12 |
| 1609853480 | Atigadda Reddy | Internal Medicine | 10619 Professional Cir, Reno, NV 89521-5831 | 2005-12-22 |
| Find all providers in the same location | ||||
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265418099 | Christi Matteoni | Internal Medicine | 10619 Professional Cir, Reno, NV 89521-5831 | 2005-12-22 |
| 1659798650 | Patrick Kai-ming Mccabe | Internal Medicine | 880 Ryland St, Reno, NV 89502-1603 | 2014-03-27 |
| 1053584631 | Tom Chi An Fang | Internal Medicine | 10619 Professional Cir, Reno, NV 89521-5831 | 2008-04-04 |
| 1891972758 | Jay Arackal Krishnan | Internal Medicine | 10619 Professional Cir, Reno, NV 89521-5831 | 2008-01-23 |
| 1326234667 | Ting-hui Hsieh | Internal Medicine | 880 Ryland St, Reno, NV 89502-1603 | 2007-09-20 |
| 1992921316 | Timothy Eric Halterman | Internal Medicine | 10619 Professional Cir, Reno, NV 89521-5831 | 2007-04-17 |
| 1689775595 | Digestive Health Associates | Internal Medicine | 655 Sierra Rose Dr, Reno, NV 89511-2060 | 2006-09-25 |
| 1457368565 | Eric Martin Osgard | Internal Medicine | 880 Ryland St, Reno, NV 89502-1603 | 2006-08-02 |
| 1467418533 | Edward I Alper | Internal Medicine | 1000 Locust St, Reno, NV 89502-2597 | 2006-04-26 |
| 1922062215 | Loth Lieberstein | Internal Medicine | 10619 Professional Cir, Reno, NV 89521-5831 | 2006-04-13 |
| 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.