Waddy Osvaldo Gonzalez Diaz (NPI# 1851636294, PAC ID# 0345570875) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1851636294 |
| PAC ID by PECOS | 0345570875 |
| Professional Enrollment ID | I20190926001783 |
| Full Name | Waddy Osvaldo Gonzalez Diaz |
| Organization Legal Name | NORTHERN NEVADA MEDICAL GROUP, LLC |
| Address |
2385 E Prater Way Suite 302 Sparks NV 89434-9638 |
| Phone Number | 7753564514 |
| Gender | M |
| Graduation Year | 2006 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 7214093020 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290032 | NORTHERN NEVADA MEDICAL CENTER |
| 291313 | BANNER CHURCHILL COMMUNITY HOSPITAL |
| 290001 | RENOWN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2385 E Prater Way, Suite 302, Sparks, NV 89434-9638 | 7753564514 | NORTHERN NEVADA MEDICAL GROUP, LLC |
| Organization Legal Name | NORTHERN NEVADA MEDICAL GROUP, LLC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Claire Marie Faust Nichols | Physician Assistant | Northern Nevada Medical Group, LLC | 5265 Vista Blvd, Bldg B, Sparks, NV 89436-0836 |
| Jennifer A Harrington | Nurse Practitioner | Northern Nevada Medical Group, LLC | 5975 S Los Altos Pkwy, Suite 100, Sparks, NV 89436-7699 |
| Thomas N Truong | Interventional Cardiology | Northern Nevada Medical Group, LLC | 1020 New River Pkwy, Suite 301, Fallon, NV 89406-7811 |
| Chris B Mathis | Family Medicine | Northern Nevada Medical Group, LLC | 5575 Kietzke Lane, Reno, NV 89511-2085 |
| Thomas V Mccormick | General Surgery | Northern Nevada Medical Group, LLC | 1020 New River Pkwy, Suite 301, Fallon, NV 89406-7811 |
| Nisreen H Yaghmour | Cardiac Electrophysiology | Northern Nevada Medical Group, LLC | 2385 E Prater Way, Suite 302, Sparks, NV 89434-9638 |
| Dana Janeen Julian | Nurse Practitioner | Northern Nevada Medical Group, LLC | 5070 Ion Dr, Suite 200, Sparks, NV 89436-1654 |
| Usha K Nuthi | Neurology | Northern Nevada Medical Group, LLC | 2385 E Prater Way, Suite 302, Sparks, NV 89434-9638 |
| Wynter N Phoenix | General Surgery | Northern Nevada Medical Group, LLC | 2385 E Prater Way, Suite 205, Sparks, NV 89434-9688 |
| Todd F Inman | Family Medicine | Northern Nevada Medical Group, LLC | 2345 E Prater Way, Suite 100, Sparks, NV 89434-9664 |
| Street Address |
2385 E PRATER WAY SUITE 302 |
| City | SPARKS |
| State | NV |
| Zip | 89434-9638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey M Tunney | Physical Therapy | Denis G Patterson Do PC | 2385 E Prater Way, Suite 204, Sparks, NV 89434-9688 |
| Nisreen H Yaghmour | Cardiac Electrophysiology | Northern Nevada Medical Group, LLC | 2385 E Prater Way, Suite 302, Sparks, NV 89434-9638 |
| Richard G Harris | Pain Management | 2385 E Prater Way, Suite 104, Sparks, NV 89434-9663 | |
| Usha K Nuthi | Neurology | Northern Nevada Medical Group, LLC | 2385 E Prater Way, Suite 302, Sparks, NV 89434-9638 |
| Wynter N Phoenix | General Surgery | Northern Nevada Medical Group, LLC | 2385 E Prater Way, Suite 205, Sparks, NV 89434-9688 |
| Aleem Surani | Pulmonary Disease | Northern Nevada Medical Group, LLC | 2385 E Prater Way, Suite 302, Sparks, NV 89434-9638 |
| Aaron John Viray | Pulmonary Disease | Northern Nevada Medical Group, LLC | 2385 E Prater Way, Suite 302, Sparks, NV 89434-9638 |
| Amr Mohsen | Interventional Cardiology | Northern Nevada Medical Group, LLC | 2385 E Prater Way, Suite 302, Sparks, NV 89434-9638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael T Ross | Chiropractic | 722 Baring Blvd, Sparks, NV 89434-1500 | |
| Leslie H Toulouse | Physical Therapy | 1400 Baring Blvd, Sparks, NV 89434-1642 | |
| Ashley Elizabeth Owens | Physician Assistant | Hometown Health Management Company | 910 Vista Blvd, Sparks, NV 89434-6501 |
| Julie A Locken | Diagnostic Radiology | Reno Radiological Associates Chartered | 910 Vista Blvd, Sparks, NV 89434-6501 |
| Jordan Nicole Williams | Physician Assistant | Hometown Health Management Company | 910 Vista Blvd, Sparks, NV 89434-6501 |
| George A Krakora | Diagnostic Radiology | Reno Radiological Associates Chartered | 910 Vista Blvd, Sparks, NV 89434-6501 |
| Rebecca Jan Desfor | Family Medicine | Hometown Health Management Company | 910 Vista Blvd, Sparks, NV 89434-6501 |
| Jean E Hyde | Physician Assistant | Hometown Health Management Company | 910 Vista Blvd, Sparks, NV 89434-6501 |
| Travis C Walker | Family Medicine | Hometown Health Management Company | 910 Vista Blvd, Sparks, NV 89434-6501 |
| Tera Lynn Zuccarini | Nurse Practitioner | Hometown Health Management Company | 910 Vista Blvd, Sparks, NV 89434-6501 |
| Find all physicians in zip 89434 | |||
| City | SPARKS |
| Zip Code | 89434 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | SPARKS + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Waddy Osvaldo Gonzalez Diaz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.