PRESTIGE PRIMARY PROVIDERS


Address: 2305 Ridge Field Trl, Reno, NV 89523-6804
Phone: 7757623383

PRESTIGE PRIMARY PROVIDERS (NPI# 1134532773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134532773
Entity Type Organization
Organization Name PRESTIGE PRIMARY PROVIDERS
Practice Address 2305 Ridge Field Trl
Reno
NV 89523-6804
Practice Telephone 7757623383
Enumeration Date 2014-06-10
Last Update Date 2014-06-10
Authorized Official Name TIMOTHY SCOTT OSBORNE (OWNER)
Authorized Official Telephone 7757623383
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
NV20141368596 NV Ambulatory Health Care Facilities

Office Location

Street Address 2305 RIDGE FIELD TRL
City RENO
State NV
Zip Code 89523-6804

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1952810194 Michael Anacker Occupational Therapist 5410 Simons Drive, Reno, NV 89523 2017-09-20
1033570981 Alison Butler Speech-Language Pathologist 7289 Heatherwood Dr., Reno, NV 89523 2016-03-18
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1841637006 Nicole Katherine Butler Audiologist 9770 S. Mccarren Blvd, Reno, NV 89523 2013-05-29
1477803922 Laura Soukup Speech-Language Pathologist 5820 Lindsay Drive, Reno, NV 89523 2012-09-12
1578812939 Jeanine Kay Johnson Community Health Worker 9195 Bay Meadows Dr., Reno, NV 89523 2012-08-31
1851626931 Steven Koning Optometrist 9700 South Mccarran Blvd., Reno, NV 89523 2009-10-07
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1417433483 Christopher C. Highley D.o., PC Clinic/Center 10627 Professional Cir Ste A, Reno, NV 89521-5834 2018-07-12
1922534965 Activate Healthcare - Eldorado (ruby) Clinic/Center 190 W 6th St, Reno, NV 89503-4502 2017-05-11
1720511678 Activate Healthcare - Eldorado Resorts Clinic/Center 190 West 6th Street, Reno, NV 89503-4502 2017-04-07
1497377105 Forest View Medical Clinic LLC Clinic/Center 6880 S Mccarran Blvd Ste 5, Reno, NV 89509-6129 2020-05-15
1265932487 Reno Center for Child and Adolescent Health Clinic/Center 3596 Baker Ln, Reno, NV 89509-5458 2018-02-14
1922535723 Va Snhcs Clinic/Center 1201 Corporate Blvd, Reno, NV 89502-7177 2017-05-11
1063955268 Accesscare Telehealth Inc Clinic/Center 200 S Virginia St, Ste 800, Reno, NV 89501-2405 2016-11-21
1619362324 Walk-in Medical Clinic LLC Clinic/Center 495 Apple St, Ste 104, Reno, NV 89502-3553 2015-03-31
1174913024 Duncan Family Healthcare Pllc Clinic/Center 6630 S Mccarran Blvd, Suite A12, Reno, NV 89509-6145 2015-01-30
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Competitor

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City RENO
Zip Code 89523

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Dataset Information

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.

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