DR. BURTON JARED TABAAC (NPI# 1295154219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295154219 |
| Entity Type | Individual |
| Full Name | DR. BURTON JARED TABAAC |
| Credential | M.D. |
| Practice Address |
1155 Mill St Reno NV 89502-1576 |
| Mailing Address |
850 Harvard Way Reno NV 89502-2055 |
| Practice Telephone | 7759827878 |
| Practice Fax Number | 7759824196 |
| Mailing Telephone | 7759825262 |
| Mailing Fax Number | 7759825496 |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2019-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
D84228 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | NV DEA # | FT8482565 | 01 |
| NV | NV MD LICENSE | 18940 | 01 |
| NV | CAQH # | 14411782 | 01 |
| Street Address |
1155 MILL ST |
| City | RENO |
| State | NV |
| Zip Code | 89502-1576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405456 | Phyllis Joyce Ager | Radiology | 1155 Mill St, Mail Code L11, Reno, NV 89502-1576 | 2005-05-27 |
| 1245830405 | Melissa Kimberly Herrera | Technician | 1155 Mill St, Reno, NV 89502-1576 | 2020-10-27 |
| 1386250298 | Corinne Elizabeth Canavero | Nurse Practitioner | 1155 Mill St, Reno, NV 89502-1576 | 2020-09-17 |
| 1457969479 | Cory Lankford | Pharmacist | 1155 Mill St, Reno, NV 89502-1576 | 2020-07-15 |
| 1710500947 | Dana Robinson | Occupational Therapist | 1155 Mill St, Reno, NV 89502-1576 | 2020-05-21 |
| 1376162495 | Erin Miranda Madsen | Registered Nurse | 1155 Mill St, Reno, NV 89502-1576 | 2020-04-09 |
| 1568092336 | Jodi Danielson | Home Health | 1155 Mill St, Reno, NV 89502-1576 | 2020-01-21 |
| 1184266298 | Janeen Lou Ibarreta | Pharmacist | 1155 Mill St, Reno, NV 89502-1576 | 2019-10-09 |
| 1558914465 | Jasmine Ghuman | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Reno, NV 89502-1576 | 2019-07-19 |
| 1205498987 | Unr | Clinic/Center | 1155 Mill St, Reno, NV 89502-1576 | 2019-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962701219 | Byung Chan Thomas Ahn | Psychiatry & Neurology | 135 N Sierra St # 40595, Reno, NV 89501-1344 | 2011-03-24 |
| 1013177872 | Stephanie Colleen Jackson | Psychiatry & Neurology | 1950 Hope Valley Dr, Reno, NV 89521-3140 | 2008-06-13 |
| 1467507384 | Charles E Quaglieri | Psychiatry & Neurology | 330 E Liberty St, Suite 200, Reno, NV 89501-2260 | 2007-01-23 |
| 1902975923 | Steven E Rubin | Psychiatry & Neurology | 6119 Ridgeview Ct Ste 300, Reno, NV 89519-6328 | 2006-11-06 |
| 1407805401 | Timothy Jay Louie | Psychiatry & Neurology | 645 N Arlington Ave Ste 655, Reno, NV 89503-4444 | 2006-05-08 |
| 1578117362 | Culpepper Psychiatric Associates Pllc | Psychiatry & Neurology | 6940 Sierra Center Pkwy, Reno, NV 89511-2209 | 2019-07-30 |
| 1851952543 | Sameera Siddiqui | Psychiatry & Neurology | 1664 N Virginia St, Reno, NV 89557-0001 | 2019-06-24 |
| 1154717130 | Kevin Robert Chysna | Psychiatry & Neurology | 75 Pringle Way Ste 401, Reno, NV 89502-1476 | 2015-04-07 |
| 1972921591 | Lee Gerwitz | Psychiatry & Neurology | 75 Pringle Way Ste 401, Reno, NV 89502-1476 | 2014-04-01 |
| 1659715001 | Jeffrey Brent Peel | Psychiatry & Neurology | 1155 Mill St, Reno, NV 89502 | 2013-04-28 |
| 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.