UROLOGY NEVADA, LTD. (NPI# 1316162795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316162795 |
| Entity Type | Organization |
| Organization Name | UROLOGY NEVADA, LTD. |
| Other Organization Name | UROLOGY NEVADA |
| Practice Address |
10745 Double R Blvd Reno NV 89521-8979 |
| Mailing Address |
5560 Kietzke Ln. Bldg. A Reno NV 89511 |
| Practice Telephone | 7753227811 |
| Practice Fax Number | 7753221431 |
| Mailing Telephone | 7753227811 |
| Mailing Fax Number | 7753221431 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-09-14 |
| Authorized Official Name | SAMANTHA MILLS (BILLING MANAGER) |
| Authorized Official Telephone | 7752841642 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | NV20071378617 | NV | Suppliers |
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | NEVADA STATE BOARD OF PHARMACY | 2994982 | 01 |
| Other Name | Type Code |
|---|---|
| Urology Nevada | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5560 Kietzke Ln., Bldg. A, Reno, NV 89511 | 7753227811 | 7753221431 |
| 1500 E 2nd St Ste 300, Reno, NV 895021198 | 7753227811 | 7753227811 |
| Street Address |
10745 DOUBLE R BLVD |
| City | RENO |
| State | NV |
| Zip Code | 89521-8979 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013008135 | Angelo W Kanellos | Urology | 10745 Double R Blvd, Reno, NV 89521-8979 | 2006-09-27 |
| 1437711330 | Lexi Sara Jacobson | Urology | 10745 Double R Blvd, Reno, NV 89521-8979 | 2019-07-01 |
| 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 |
|---|---|---|---|---|
| 1013008135 | Angelo W Kanellos | Urology | 10745 Double R Blvd, Reno, NV 89521-8979 | 2006-09-27 |
| 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 |
| 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.