Kaleb R Wartgow (NPI# 1275995946, PAC ID# 3870888092) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1275995946 |
| PAC ID by PECOS | 3870888092 |
| Professional Enrollment ID | I20190429002471 |
| Full Name | Kaleb R Wartgow |
| Organization Legal Name | SOUTH LYON HEALTH CENTER INC |
| Address |
213 S Whitacre St Yerington NV 89447-2561 |
| Phone Number | 7754632301 |
| Gender | M |
| Medical School | UNIVERSITY OF NEVADA SCHOOL OF MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0648178533 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 291314 | SOUTH LYON MEDICAL CENTER |
| 290019 | CARSON TAHOE REGIONAL MEDICAL CENTER |
| 291306 | CARSON VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 213 S Whitacre St, Yerington, NV 89447-2561 | 7754632301 | SOUTH LYON HEALTH CENTER INC |
| Organization Legal Name | SOUTH LYON HEALTH CENTER INC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Loren P Simpson | Family Medicine | South Lyon Health Center Inc | 213 S Whitacre St, Yerington, NV 89447-2561 |
| Celeste M Callinan | Physician Assistant | South Lyon Health Center Inc | 213 S Whitacre St, Yerington, NV 89447-2561 |
| Daniel Villalobos | Physician Assistant | South Lyon Health Center Inc | 213 S Whitacre St, Yerington, NV 89447-2561 |
| Christopher W Ward | Emergency Medicine | South Lyon Health Center Inc | 213 S Whitacre St, Yerington, NV 89447-2561 |
| Jeffrey J Westin | Emergency Medicine | South Lyon Health Center Inc | 213 S Whitacre St, Yerington, NV 89447-2561 |
| Robin L Titus | Emergency Medicine | South Lyon Health Center Inc | 213 S Whitacre St, Yerington, NV 89447-2561 |
| Media Rowesayi Mupanduki | Nurse Practitioner | South Lyon Health Center Inc | 213 S Whitacre St, Yerington, NV 89447-2561 |
| Ellen M Mamolen | Nurse Practitioner | South Lyon Health Center Inc | 213 S Whitacre St, Yerington, NV 89447-2561 |
| Patricia D Wise | Physician Assistant | South Lyon Health Center Inc | 213 S Whitacre St, Yerington, NV 89447-2561 |
| Tom J Walsh | Family Medicine | South Lyon Health Center Inc | 213 S Whitacre St, Yerington, NV 89447-2561 |
| Street Address |
213 S WHITACRE ST |
| City | YERINGTON |
| State | NV |
| Zip | 89447-2561 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Loren P Simpson | Family Medicine | South Lyon Health Center Inc | 213 S Whitacre St, Yerington, NV 89447-2561 |
| Celeste M Callinan | Physician Assistant | South Lyon Health Center Inc | 213 S Whitacre St, Yerington, NV 89447-2561 |
| Daniel Villalobos | Physician Assistant | South Lyon Health Center Inc | 213 S Whitacre St, Yerington, NV 89447-2561 |
| Christopher W Ward | Emergency Medicine | South Lyon Health Center Inc | 213 S Whitacre St, Yerington, NV 89447-2561 |
| Jeffrey J Westin | Emergency Medicine | South Lyon Health Center Inc | 213 S Whitacre St, Yerington, NV 89447-2561 |
| Robin L Titus | Emergency Medicine | South Lyon Health Center Inc | 213 S Whitacre St, Yerington, NV 89447-2561 |
| Media Rowesayi Mupanduki | Nurse Practitioner | South Lyon Health Center Inc | 213 S Whitacre St, Yerington, NV 89447-2561 |
| Ellen M Mamolen | Nurse Practitioner | South Lyon Health Center Inc | 213 S Whitacre St, Yerington, NV 89447-2561 |
| Patricia D Wise | Physician Assistant | South Lyon Health Center Inc | 213 S Whitacre St, Yerington, NV 89447-2561 |
| Tom J Walsh | Family Medicine | South Lyon Health Center Inc | 213 S Whitacre St, Yerington, NV 89447-2561 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles R Elliott | Optometry | Robertson and Koenig Ltd | 233 S Main St, Yerington, NV 89447-2536 |
| Richard P Ganchan | Cardiovascular Disease (cardiology) | Community Care Services LLC | 306 Surprise Ave, Yerington, NV 89447-2542 |
| Ralph M Baker | Psychologist, Clinical | State of Nevada | 215 W Bridge St, Suite 5, Yerington, NV 89447-2544 |
| Shannon M Rebiejo | Clinical Social Worker | State of Nevada | 215 W Bridge St, Suite 5, Yerington, NV 89447-2544 |
| Thomas M Kim | Psychiatry | State of Nevada | 215 W Bridge St, Suite 5, Yerington, NV 89447-2544 |
| Sharon M Malotte | Internal Medicine | South Lyon Health Center Inc | 213 S Whitacre St, Yerington, NV 89447-2561 |
| Winona Holloway | Clinical Social Worker | South Lyon Health Center Inc | 213 S Whitacre St, Yerington, NV 89447-2561 |
| Matthew L Ingle | Family Practice | South Lyon Health Center, Inc. | 213 S Whitacre St, Yerington, NV 89447-2561 |
| Raymond Lee Stillwell | Emergency Medicine | South Lyon Health Center, Inc. | 213 S Whitacre St, Yerington, NV 89447-2561 |
| Sean T Devlin | Family Practice | South Lyon Health Center, Inc. | 213 S Whitacre St, Yerington, NV 89447-2561 |
| Find all physicians in zip 89447 | |||
| City | YERINGTON |
| Zip Code | 89447 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | YERINGTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kaleb R Wartgow.
| 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.