EASTERN SIERRA MEDICAL GROUP LLC (NPI# 1659856631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659856631 |
| Entity Type | Organization |
| Organization Name | EASTERN SIERRA MEDICAL GROUP LLC |
| Other Organization Name | RENOWN MEDICAL GROUP - MULTISPECIALTY CARE |
| Practice Address |
1500 E 2nd St Ste 300 Reno NV 89502-1198 |
| Mailing Address |
850 Harvard Way Reno NV 89502-2055 |
| Practice Telephone | 7759826270 |
| Practice Fax Number | 7759826271 |
| Mailing Telephone | 7759825262 |
| Mailing Fax Number | 7759825496 |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2019-05-17 |
| Authorized Official Name | DAWN D AHNER (COO ACUTE SERVICES) |
| Authorized Official Telephone | 7759824404 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOMETOWN HEALTH MANAGEMENT COMPANY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Renown Medical Group - Multispecialty Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316925381 | Eastern Sierra Medical Group LLC | Family Medicine | 3595 Us Highway 50, Silver Springs, NV 89429-9613 | 2006-01-09 |
| 1639535255 | Eastern Sierra Medical Group LLC | Internal Medicine | 825 S Main St, Tonopah, NV 89049 | 2016-01-12 |
| Street Address |
1500 E 2ND ST STE 300 |
| City | RENO |
| State | NV |
| Zip Code | 89502-1198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760474555 | Christos A Galanopoulos | Surgery | 1500 E 2nd St Ste 300, Reno, NV 89502 | 2005-08-17 |
| 1063072882 | Stephanie Christian | Physician Assistant | 1500 E 2nd St Ste 300, Reno, NV 89502 | 2019-06-14 |
| 1194296632 | Community Care Services LLC | Pediatrics | 1500 E 2nd St Ste 300, Reno, NV 89502-1198 | 2018-12-10 |
| 1578004073 | Lisa Corinne Cavin | Physician Assistant | 1500 E 2nd St Ste 300, Reno, NV 89502-1198 | 2017-03-16 |
| 1043530074 | Kimball Scott Knackstedt | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1500 E 2nd St Ste 300, Reno, NV 89502-1198 | 2010-06-01 |
| 1295997856 | Ashley M White | Nurse Practitioner | 1500 E 2nd St Ste 300, Reno, NV 89502 | 2008-06-25 |
| 1982822615 | Northern Nevada Lithotripsy | Clinic/Center | 1500 E 2nd St Ste 300, Reno, NV 89502-1198 | 2007-04-20 |
| 1033284468 | Urologic Surgeons Ltd | Urology | 1500 E 2nd St Ste 300, Reno, NV 89502-1198 | 2006-11-21 |
| 1255442919 | Carolyn Renee Dennehey | Internal Medicine | 1500 E 2nd St Ste 300, Reno, NV 89502-1198 | 2006-08-31 |
| 1104845569 | Michael Johnathon Elliott | Orthopaedic Surgery | 1500 E 2nd St Ste 300, Reno, NV 89502-1198 | 2006-07-18 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043719636 | Sierra Surgical Oncology Corporation | Surgery | 75 Pringle Way Ste 906, Reno, NV 89502-8405 | 2018-02-08 |
| 1306170444 | Alex R Cardenas | Surgery | 75 Pringle Way Ste 1002, Reno, NV 89502 | 2009-09-22 |
| 1841414877 | Amanda Czigany Vanderclay | Surgery | 1500 East 2nd Street #206, Reno, NV 89502 | 2007-04-12 |
| 1972535334 | Thomas Mccrorey | Surgery | 10685 Professional Cir Ste B, Reno, NV 89521-5843 | 2006-07-07 |
| 1053349977 | Mitzi M Miller | Surgery | 975 Kirman Ave # 112, Reno, NV 89502-0993 | 2006-06-29 |
| 1215972138 | Mark D Kozar | Surgery | 75 Pringle Way 1002, Reno, NV 89502-1475 | 2006-06-17 |
| 1548208283 | Akhtar Albright Chu Dixon Nachtsheim Sieffert & Stumpf Mds PC | Surgery | 1500 E 2nd Street #206, Reno, NV 89502 | 2006-06-03 |
| 1942290382 | Thomas E Rembetski | Surgery | 6554 S Mccarran Blvd, #b, Reno, NV 89509-6112 | 2005-10-26 |
| 1598753725 | George Frederick Sieffert | Surgery | 1500 E 2nd Street, Suite 206, Reno, NV 89502-1181 | 2005-10-11 |
| 1760474555 | Christos A Galanopoulos | Surgery | 1500 E 2nd St Ste 300, Reno, NV 89502 | 2005-08-17 |
| 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.