Northern Nevada Medical Group, Llc

LBN: Northern Nevada Medical Group, Llc
Northern Nevada Medical Group, Llc is an health care organization with primary practice located at 2345 E Prater Way Suite 207, Sparks NV 89434-9600. The organization recently has 11 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Hospitalist, Podiatric Medicine & Surgery Service Providers / Podiatrist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Northern Nevada Medical Group, Llc can be contacted via phone (775) 352-5300, or through Evans, Todd via phone (610) 768-3300.

Contact Information

Primary practice address
2345 E Prater Way Suite 207 Sparks NV 89434-9600
Phone: (775) 352-5300
Fax: (775) 352-5334
Website:
Map and Directions
Authorized official contact:
Name: Evans, Todd
Phone: (610) 768-3300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1972751618
LBN Legal business name Northern Nevada Medical Group, Llc
DBA Doing business as
Authorized official Evans, Todd
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2008
Last updated Aug 17th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972751618 NPPES
Nevada Other DO8810 RR MEDICARE
Nevada MEDICAID 1972751618 RR MEDICARE

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