SIERRA NEVADA MEDICAL GROUP (NPI# 1730153826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730153826 |
| Entity Type | Organization |
| Organization Name | SIERRA NEVADA MEDICAL GROUP |
| Practice Address |
1624 Library Lane Suite B Minden NV 89423 |
| Mailing Address |
1077 Fourth Street Suite 12 South Lake Tahoe CA 96150 |
| Practice Telephone | 7757828186 |
| Practice Fax Number | 7757824683 |
| Mailing Telephone | 5305435640 |
| Mailing Fax Number | 5305418723 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID HOWARD JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 7757828186 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ========= | NV | Allopathic & Osteopathic Physicians |
| Street Address |
1624 LIBRARY LANE SUITE B |
| City | MINDEN |
| State | NV |
| Zip Code | 89423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124404728 | Jenna Ortiz | Counselor | 1650 Hwy 395 N, Suite 103a, Minden, NV 89423 | 2015-08-05 |
| 1508270042 | Courtney Michele Carmichael Hight | Physical Therapist | 1642 Mackland Ave, Minden, NV 89423 | 2014-06-12 |
| 1205274834 | Robert William Stone | Rehabilitation Practitioner | 1512 Hwy 395 N, Suite 3, Gardnerville, NV 89423 | 2013-06-05 |
| 1992068316 | David S Hoskins Md, Ltd | Family Medicine | 1664 Hwy 395 North, Suite 201, Minden, NV 89423 | 2012-06-20 |
| 1831450915 | Rachel Arvella Pryde | Social Worker | 1644 Highway 395 N, Suite D, Minden, NV 89423 | 2012-06-05 |
| 1316229610 | Jay D Marriage | Dentist | 1700 County Road, Suite E, Minden, NV 89423 | 2011-09-13 |
| 1053590760 | Gail Jean Jacobs | Social Worker | 1650 Hwy 395 Suite 202c, Minden, NV 89423 | 2007-10-30 |
| 1972797835 | Steven Brown Md PC | Internal Medicine | 1667 Lucerne Dr, Ste A, Minden, NV 89423 | 2007-09-04 |
| 1760681365 | Optimalaire Inc | Durable Medical Equipment & Medical Supplies | 2559-1 Precision Drive, Suite 1, Minden, NV 89423 | 2007-07-13 |
| 1316167406 | Jay D Marriage Dds | Dentist | 1700 County Rd, Suite B, Minden, NV 89423 | 2007-04-30 |
| Find all providers in zip 89423 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780995910 | Gary Glynn Daniel | General Practice | 614 Lewisville Rd, Minden, LA 71055-2631 | 2010-06-22 |
| 1730718594 | Minden Physician Practices LLC | General Practice | 346 Homer Rd, Minden, LA 71055-2834 | 2020-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281451 | Korn Health Solutions, Pllc | General Practice | 8530 W Sunset Rd Ste 305, Las Vegas, NV 89113-2215 | 2020-10-06 |
| 1629689310 | Korn Health Solutions, Pllc | General Practice | 343 Elm St Ste 201, Reno, NV 89503-4538 | 2020-08-14 |
| 1740898253 | Cano Health Nevada Pllc | General Practice | 3265 E Tropicana Ave, Las Vegas, NV 89121-7386 | 2020-07-21 |
| 1720631070 | Regen Providers | General Practice | 730 Sandhill Rd Ste 120, Reno, NV 89521-8962 | 2019-07-16 |
| 1225530553 | Real Time Physicians, LLC | General Practice | 3855 W Diablo Dr Ste 2, Las Vegas, NV 89118-2343 | 2018-03-02 |
| 1265958862 | Ricardo Gonzalez Md Family Practice PC | General Practice | 2005 Sierra Highlands Dr Ste 101, Reno, NV 89523-2301 | 2017-08-16 |
| 1689057655 | Boheme, LLC | General Practice | 1100 Caughlin Xing, Reno, NV 89519-0613 | 2015-07-08 |
| 1659787414 | Nicholas T Welch | General Practice | 2283 Chestnut Ranch Ave, Henderson, NV 89052-0409 | 2014-07-01 |
| 1063847317 | Mh Health Care Services, PC | General Practice | 7135 W Sahara Ave Ste 100, C/o Laborers Health Center, Las Vegas, NV 89117-2828 | 2013-09-05 |
| 1386078582 | Richard F Russell | General Practice | 2221 S Tioga Way, Las Vegas, NV 89117-2735 | 2013-08-25 |
| Find all providers with the same taxonomy | ||||
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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.