DR. JEFFREY PAUL BACON (NPI# 1215910757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215910757 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY PAUL BACON |
| Credential | MD |
| Practice Address |
343 Elm St Ste 402 Reno NV 89503-4541 |
| Mailing Address |
411 W 6th St Reno NV 89503-4415 |
| Practice Telephone | 7757707640 |
| Practice Fax Number | 7757707650 |
| Mailing Telephone | 7757707600 |
| Mailing Fax Number | 7757707880 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2019-02-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 8951 | NV | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
8951 | NV | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
8951 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 002016729 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548485816 | Jeffrey Kyle Bacon | Internal Medicine | 8329 Brimhall Rd, Suite 801, Bakersfield, CA 93312-2243 | 2007-04-13 |
| 1255391132 | Jeffrey Lance Bacon | Family Medicine | 615 Fairhurst St, Sterling, CO 80751-4564 | 2006-03-24 |
| Street Address |
343 ELM ST STE 402 |
| City | RENO |
| State | NV |
| Zip Code | 89503-4541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639654932 | Board of Regents, Nevada System of Higher Education | Assistant Behavior Analyst | 401 West 2nd Street, Reno, NV 89503 | 2018-10-02 |
| 1356825392 | Shelby Downs | Behavior Technician | 2730 W 7th St, Reno, NV 89503 | 2018-09-15 |
| 1659805570 | Lee Ann Malone | Counselor | 200 W 1st St, Ste 200, Reno, NV 89503 | 2017-04-18 |
| 1255786828 | Eric Allen Hare | Counselor | 1201 North Stewart Street, Sutie 120, Carson City, NV 89503 | 2016-05-02 |
| 1407226095 | Travis B Adams | Dentist | 855 W Seventh St, Ste 200, Reno, NV 89503 | 2015-09-25 |
| 1477933877 | Shawn Mahan | Counselor | 900 W. First Streeet, Reno, NV 89503 | 2015-06-02 |
| 1801144431 | Yesenia Hernandez | Community Health Worker | 900w 1st Street Ste.200, Reno, NV 89503 | 2012-08-29 |
| 1053667501 | Barbara Frey | Social Worker | 580 W 5th Street, Reno, NV 89503 | 2012-08-01 |
| 1548546146 | The Note-ables | Day Training, Developmentally Disabled Services | 925 Riverside Drive, Suite 6, Reno, NV 89503 | 2011-10-26 |
| 1194011270 | Joanne Krumpe | Psychologist | 507 W. 6th St, Reno, NV 89503 | 2011-06-27 |
| Find all providers in zip 89503 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376526822 | John Douglas Andrews Jr. | Internal Medicine | 990 Caughlin Xing Bldg A, Reno, NV 89519-0631 | 2005-11-29 |
| 1538424239 | Saint Marys Medical Group Inc. | Internal Medicine | 411 W 6th St, Reno, NV 89503-4415 | 2012-07-09 |
| 1952668105 | William Barker Graham IIi | Internal Medicine | 236 W 6th St Ste 200, Reno, NV 89503-4550 | 2012-04-12 |
| 1083903678 | Faisal M. Siddiqui | Internal Medicine | 1000 Locust St, Dept. of Internal Medicine, Reno, NV 89502-2597 | 2011-04-04 |
| 1255655023 | Jose A Aguirre Md PC Reno | Internal Medicine | 235 W 6th St, Reno, NV 89503-4548 | 2010-03-22 |
| 1639344963 | Rudy Martin Tedja | Internal Medicine | 1155 Mill St, Reno, NV 89502 | 2008-04-28 |
| 1629275581 | Joshua F Jewell | Internal Medicine | 1155 Mill St, Reno, NV 89502-1576 | 2007-07-02 |
| 1366450033 | Michael P Young | Internal Medicine | 1155 Mill St, Reno, NV 89502 | 2006-08-04 |
| 1770506214 | Christopher Paul Nielson | Internal Medicine | 1000 Locust St, Reno, NV 89502-2597 | 2006-07-25 |
| 1093731572 | Nitinkumar Bhatt | Internal Medicine | 1000 Locust St, Reno, NV 89502-2597 | 2006-07-15 |
| Find all providers in RENO | ||||
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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.