SIERRA NEUROSURGERY GROUP (NPI# 1295914661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295914661 |
| Entity Type | Organization |
| Organization Name | SIERRA NEUROSURGERY GROUP |
| Practice Address |
5590 Kietzke Ln Reno NV 89511-3019 |
| Practice Telephone | 7753232080 |
| Practice Fax Number | 7753238216 |
| Mailing Telephone | 7753232080 |
| Mailing Fax Number | 7753238216 |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2019-04-10 |
| Authorized Official Name | JENNA SISKA (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 7757893964 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | BC BS | CC0322 | 01 |
| NV | 100508864 | 05 |
| Street Address |
5590 KIETZKE LN |
| City | RENO |
| State | NV |
| Zip Code | 89511-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063419554 | Joseph R Walker | Neurological Surgery | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2005-06-30 |
| 1336767417 | Jee Eun Lee | Nurse Practitioner | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2020-07-06 |
| 1700364338 | Rachel A Chattin | Nurse Practitioner | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2018-08-06 |
| 1174001614 | Caitlin M Clarkin | Physician Assistant | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2018-08-06 |
| 1124492442 | Jessyca Luke | Neurological Surgery | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2015-11-24 |
| 1508120940 | Jennifer Keller | Nurse Practitioner | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2012-06-29 |
| 1093079998 | Andrea Renee Black | Nurse Practitioner | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2012-06-26 |
| 1942589262 | Ashlie D. Teixeira-smith | Nurse Practitioner | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2011-08-04 |
| 1306136452 | Michael Kevin Moore | Neurological Surgery | 5590 Kietzke Ln, Reno, NV 89511 | 2011-04-11 |
| 1801107891 | Jennifer Marie Minard | Registered Nurse | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2010-06-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474695 | Katherine Lynn Mauldin | Physician Assistant | Redfield Campus Nell J. Redfield Bldg. A Suite 104, 18600 Wedge Parkway, Reno, NV 89511 | 2020-07-14 |
| 1902428915 | Roxann Jeanette Richardson | Student in an Organized Health Care Education/Training Program | Unr Redfield Campus Nell J. Redfield Bldg. A, Suite 104 18600 Wedge Parkway, Reno, NV 89511 | 2020-05-13 |
| 1487286654 | Noelle Marie Davis-marinaccio | Nurse Practitioner | 5570 Longley Lane, Reno, NV 89511 | 2020-02-06 |
| 1265092662 | Elysia Jones | Student in an Organized Health Care Education/Training Program | 18600 Wedge Parkway, Nell J. Redfield Building A, Suite 104, Reno, NV 89511 | 2019-06-18 |
| 1023583622 | Vera Whole Health, Wa PC | Clinic/Center | 699 Sierra Rose Drive, Reno, NV 89511 | 2018-10-10 |
| 1841786027 | Christina Willett | Speech-Language Pathologist | 14680 S. Quiet Meadow Drive, Reno, NV 89511 | 2018-07-10 |
| 1235630864 | High Sierra Psychiatry, LLC | Clinic/Center | Reno Behavioral Healthcare Hospital, 6940 Sierra Center Parkway, Reno, NV 89511 | 2018-02-28 |
| 1154839637 | Jacob Blake, Md Ltd. | Anesthesiology | 5590 Kietzke Lane, Reno, NV 89511 | 2018-01-18 |
| 1548776024 | Jennifer L. Shane O.d., Ltd | Optometrist | 5385 Reno Corporate Drive #100, Reno, NV 89511 | 2017-12-20 |
| 1619488525 | Reno Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 6940 Sierra Center Parkway, Reno, NV 89511 | 2017-10-18 |
| Find all providers in zip 89511 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013239482 | Nevada Neurosurgery, Ltd Lali Sekhon Md | Neurological Surgery | 75 Pringle Way Ste 701, Reno, NV 89502-1472 | 2010-02-25 |
| 1710933213 | Michael H Song Md Ltd | Neurological Surgery | 10509 Professional Circle, Suite 101, Reno, NV 89521-4883 | 2006-05-26 |
| 1255339818 | William N Dawson Jr. | Neurological Surgery | 130 Southridge Dr, Reno, NV 89509-3253 | 2005-07-08 |
| 1063419554 | Joseph R Walker | Neurological Surgery | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2005-06-30 |
| 1871191361 | Battle Born Brain and Spine Pllc | Neurological Surgery | 6512 S Mccarran Blvd Ste E, Reno, NV 89509-6141 | 2020-10-15 |
| 1396386991 | Reno Orthopaedic Clinic Inc | Neurological Surgery | 75 Pringle Way Ste 701, Reno, NV 89502-1472 | 2019-10-04 |
| 1124492442 | Jessyca Luke | Neurological Surgery | 5590 Kietzke Ln, Reno, NV 89511-3019 | 2015-11-24 |
| 1841548195 | Shane Abdunnur | Neurological Surgery | 9990 Double R Blvd Ste 200, Reno, NV 89521-4833 | 2012-08-16 |
| 1306136452 | Michael Kevin Moore | Neurological Surgery | 5590 Kietzke Ln, Reno, NV 89511 | 2011-04-11 |
| 1780847673 | Edward Charles Perry IIi | Neurological Surgery | 9990 Double R Blvd, Suite 200, Reno, NV 89521-6014 | 2008-07-09 |
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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.