MR. STAR RAY CHENOWETH (NPI# 1386970614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386970614 |
| Entity Type | Individual |
| Full Name | MR. STAR RAY CHENOWETH |
| Credential | PA-C |
| Practice Address |
973 Mica Dr Suite 201 Carson City NV 89705-7255 |
| Practice Telephone | 7757836190 |
| Practice Fax Number | 7757836191 |
| Mailing Telephone | 7757836190 |
| Mailing Fax Number | 7757836191 |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2010-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1183 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA1183 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
973 MICA DR SUITE 201 |
| City | CARSON CITY |
| State | NV |
| Zip Code | 89705-7255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154323277 | Joseph Patrick Walls | Orthopaedic Surgery | 973 Mica Dr, Ste 201, Carson City, NV 89705-7255 | 2005-06-01 |
| 1922456110 | Conor White | Physical Therapist | 973 Mica Dr, Suite 201, Carson City, NV 89705-7255 | 2016-05-27 |
| 1891179065 | Joseph William Benton IIi | Nurse Practitioner | 973 Mica Dr, Carson City, NV 89705-7255 | 2015-07-16 |
| 1437572864 | Peter N Costa, Md, Ltd | Durable Medical Equipment & Medical Supplies | 973 Mica Dr, Suite 201, Carson City, NV 89705-7258 | 2014-01-21 |
| 1710311626 | Robin Y Tomita, M.d. | Durable Medical Equipment & Medical Supplies | 973 Mica Dr, Suite 201, Carson City, NV 89705-7255 | 2013-08-27 |
| 1255627964 | Marco Mendoza | Orthopaedic Surgery | 973 Mica Dr, Suite 201, Carson City, NV 89705-7255 | 2011-06-21 |
| 1801193883 | Nicholas J Dirig | Orthopaedic Surgery | 973 Mica Dr, Suite 201, Carson City, NV 89705-7255 | 2011-02-28 |
| 1629394663 | Randall L Goode Md PC | Pain Medicine | 973 Mica Dr, Carson City, NV 89705-7255 | 2010-04-15 |
| 1316193287 | Candace Camelon | Nurse Practitioner | 973 Mica Dr, Suite 201, Carson City, NV 89705-7255 | 2008-08-12 |
| 1205098001 | Tahoe Fracture and Orthopedic Medical Clinic, Inc | Durable Medical Equipment & Medical Supplies | 973 Mica Dr, Suite 201, Carson City, NV 89705-7255 | 2008-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366642423 | Melinda Kaye Hoskins | Registered Nurse | 937 Mica Dr Ste 16b, Carson City, NV 89705 | 2007-07-18 |
| 1396897849 | Ronald Winkelman | Optometrist | 3370 N. Hwy 395 South, Carson City, NV 89705 | 2007-01-17 |
| 1821155300 | Huyen Mong Nguyen | Optometrist | 911 Topsy Ln Ste 236, Carson City, NV 89705 | 2007-01-03 |
| 1013018241 | Timothy R. Stoll Dds LLC | Dentist | 1625 Hwy 88, Suite 201, Minden, NV 89705 | 2006-09-26 |
| 1720198344 | Costco Wholesale Corporation | Pharmacy | 700 Old Clear Creek Rd, Carson City, NV 89705 | 2006-08-30 |
| 1821089376 | Kelly A Roetman | Registered Nurse | 973 Mica Dr Ste 201, Carson City, NV 89705 | 2005-11-03 |
| 1083145809 | Ashten Howard | Physician Assistant | 973 Mica Dr Ste 201, Carson City, NV 89705 | 2017-03-23 |
| 1881068518 | Emma Bacharach | Physician Assistant | 973 Mica Dr Ste 201, Carson City, NV 89705 | 2015-11-18 |
| 1770845885 | Melinda Hoskins Cnm, Ltd | Registered Nurse | 937 Mica Dr Ste 16b, Carson City, NV 89705 | 2012-06-13 |
| 1437418811 | Daniel James Cepela | Orthopaedic Surgery | 973 Mica Dr Ste 201, Carson City, NV 89705 | 2012-05-06 |
| Find all providers in zip 89705 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831453109 | Tania Josephine Dickson-humphries | Physician Assistant | 1375 Vista Ln, Carson City, NV 89703-4643 | 2012-07-01 |
| 1073614236 | James H Nicely | Physician Assistant | 1001 Mountain St, Suite 3 M, Carson City, NV 89703-3822 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453186 | High Cotton LLC | Physician Assistant | 7995 Blue Diamond Rd Ste 102-356, Las Vegas, NV 89178-9301 | 2020-10-06 |
| 1427591759 | Eduardo Delatorre | Physician Assistant | 7978 Coronado Coast St, Las Vegas, NV 89139-6192 | 2016-11-17 |
| 1598148538 | Filbert John Aquino | Physician Assistant | 921 Twilight Peak Ave., Suite 110, Henderson, NV 89012-3187 | 2015-07-08 |
| 1275923278 | Bradley Ryan Duncan | Physician Assistant | 645 Angela St, Fernley, NV 89408-8321 | 2015-01-28 |
| 1992130181 | Jason Michael Hall | Physician Assistant | 7385 S Pecos Rd Ste 101, Las Vegas, NV 89120-3768 | 2013-09-06 |
| 1790024164 | Rachelle L Kidd | Physician Assistant | 9162 Ballineen Ct, Las Vegas, NV 89148-4946 | 2013-02-05 |
| 1104162643 | David J Barth P.C. | Physician Assistant | 5455 S Fort Apache Rd Ste 108-9, Las Vegas, NV 89148-6408 | 2013-01-02 |
| 1184977555 | Luke V. Desjarlais, Pllc | Physician Assistant | 9035 Westchester Hill Ave, Las Vegas, NV 89148-4926 | 2012-10-22 |
| 1598023954 | Ronald Lavor Moon | Physician Assistant | 9806 Red Deer St, Las Vegas, NV 89143 | 2012-04-23 |
| 1720319890 | Tiffany Ann Teepen | Physician Assistant | 8420 W Warm Springs Rd # 100, Las Vegas, NV 89113-3624 | 2010-01-28 |
| Find all providers with the same taxonomy | ||||
| City | CARSON CITY |
| Zip Code | 89705 |
Please comment or provide details below to improve the information on MR. STAR RAY CHENOWETH.
| 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.