Chris B Mathis (NPI# 1407826282, PAC ID# 9234164286) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1407826282 |
| PAC ID by PECOS | 9234164286 |
| Professional Enrollment ID | I20050928001372 |
| Full Name | Chris B Mathis |
| Organization Legal Name | NORTHERN NEVADA MEDICAL GROUP, LLC |
| Address |
5575 Kietzke Lane Reno NV 89511-2085 |
| Phone Number | 7758511505 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF NEVADA SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7214093020 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290001 | RENOWN REGIONAL MEDICAL CENTER |
| 290032 | NORTHERN NEVADA MEDICAL CENTER |
| 290049 | RENOWN SOUTH MEADOWS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5575 Kietzke Lane, Reno, NV 89511-2085 | 7758511505 | 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 |
| 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 |
| Aleem Surani | Pulmonary Disease | Northern Nevada Medical Group, LLC | 2385 E Prater Way, Suite 302, Sparks, NV 89434-9638 |
| Street Address |
5575 KIETZKE LANE |
| City | RENO |
| State | NV |
| Zip | 89511-2085 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leslie Anne Peek | Nurse Practitioner | Northern Nevada Medical Group, LLC | 5575 Kietzke Lane, Reno, NV 89511-2085 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lexi Sara Jacobson | Physician Assistant | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 6650 Kietzke Ln, Reno, NV 89511 |
| John G Scott | Urology | Urology Nevada, Ltd., Drs., Drew, Freeman, Garey-sage, Goode, Hald, Ka | 6650 Kietzke Ln, Reno, NV 89511 |
| Kathryn G Baker | Nurse Practitioner | Anne G Hayes Dermatology PC | 509 Hammill Ln, Reno, NV 89511-1004 |
| Michael A Hodes | Qualified Audiologist | Silver State Hearing and Balance, Inc. | 501 Hammill Ln, Reno, NV 89511-1004 |
| James C Mclennan | Family Medicine | 513 Hammill Ln, Reno, NV 89511-1004 | |
| Mel C Magboo | Internal Medicine | 555 Hammill Ln, Reno, NV 89511-1004 | |
| Christine N Schellin | Qualified Audiologist | Silver State Hearing and Balance, Inc. | 501 Hammill Ln, Reno, NV 89511-1004 |
| Merle F Bruce | Otolaryngology | 501 Hammill Ln, Reno, NV 89511-1004 | |
| Danielle Catherine Beebe | Qualified Audiologist | Silver State Hearing and Balance, Inc. | 501 Hammill Ln, Reno, NV 89511-1004 |
| Nancy R Henderson | Qualified Audiologist | Silver State Hearing and Balance, Inc. | 501 Hammill Ln, Reno, NV 89511-1004 |
| Find all physicians in zip 89511 | |||
| City | RENO |
| Zip Code | 89511 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | RENO + FAMILY MEDICINE |
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| 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.