SUSAN A DOBERNECK (NPI# 1639249022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639249022 |
| Entity Type | Individual |
| Full Name | SUSAN A DOBERNECK |
| Credential | M.D. |
| Practice Address |
1600 Medical Pkwy Carson City NV 89703-4625 |
| Mailing Address |
Po Box 21609 Carson City NV 89721-1609 |
| Practice Telephone | 7754458502 |
| Practice Fax Number | 7758884448 |
| Mailing Telephone | 7758842455 |
| Mailing Fax Number | 7758840345 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2009-11-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
7169 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1639249022 | 05 |
| Street Address |
1600 MEDICAL PKWY |
| City | CARSON CITY |
| State | NV |
| Zip Code | 89703-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316943913 | Stephen Lane Perry | Internal Medicine | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2005-06-28 |
| 1679194187 | Cheryl Gallio | Dietitian, Registered | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2020-05-06 |
| 1275154171 | Cristina Mosqueda | Registered Nurse | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2020-05-01 |
| 1821619727 | Danielle Dyan Burian | Nurse Practitioner | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2020-05-01 |
| 1538780424 | Valerie R Jakubos | Nurse Practitioner | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2020-05-01 |
| 1548805708 | Chelsea Minifie | Dietitian, Registered | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2019-11-12 |
| 1053955047 | Bethany Adams | Registered Nurse | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2019-11-01 |
| 1104484138 | Hillary Lawson | Dietitian, Registered | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2019-06-04 |
| 1396300042 | Bridget Henderson | Dietitian, Registered | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2019-05-08 |
| 1124598818 | Julie Westwood | Nurse Practitioner | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2018-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487215232 | Madison M Gurries | Audiologist | 1493 Medical Parkway, Carson City, NV 89703 | 2019-06-24 |
| 1609332949 | Tsl Skyline Estates, LLC | Assisted Living Facility | 2705 Mountain St., Carson City, NV 89703 | 2019-02-12 |
| 1790252120 | Reno Orthopaedic Clinic Inc. | Physical Therapist | 1365 Medical Parkway, Carson City, NV 89703 | 2018-10-24 |
| 1265910970 | Marvel Dental Carson City, LLC | Clinic/Center | 410 Fleischmann Way Suite A., Carson City, NV 89703 | 2018-08-03 |
| 1619348489 | Nevada Health Centers Inc. | Clinic/Center | 618 W. Musser Street, Carson City, NV 89703 | 2015-10-19 |
| 1518351089 | Christopher Vlasek | Family Medicine | 412 W John St Ste B, Carson City, NV 89703 | 2015-03-23 |
| 1902215254 | Grant Vaughn Davis | Behavioral Analyst | 1316 Monte Rosa Drive, Carson City, NV 89703 | 2014-08-11 |
| 1437563152 | Nina Patynowski | Nurse Practitioner | 415 W Sofia St, Ste 100, Carson City, NV 89703 | 2014-06-20 |
| 1679853089 | Carson Tahoe Physician Clinics | Family Medicine | 1200 Moutain Street, Suite 220, Carson City, NV 89703 | 2011-08-17 |
| 1790094076 | Darlene Parrish | Occupational Therapy Assistant | 3050 N. Ormsby Bl, Carson City, NV 89703 | 2010-10-04 |
| Find all providers in zip 89703 | ||||
| Taxonomy Code | 207ZP0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology/Laboratory Medicine |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609946094 | Mark R Wolz | Pathology | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2006-11-09 |
| 1942265756 | James D Banner | Pathology | 406 E Elm St, Carson City, MI 48811 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427419316 | Beata Joanna Kwiatkowska | Pathology | 2937 Channel Bay Dr, Las Vegas, NV 89128-7288 | 2016-03-18 |
| 1518045137 | Samuel D. Parks | Pathology | 1 Manville Medical Sciences Bldg Ms 350, Department of Pathology and Laboratory Medicine, Reno, NV 89557-0001 | 2006-11-01 |
| 1083065460 | Sunrise Health Clinics | Pathology | 5915 S Rainbow Blvd, Suite 105, Las Vegas, NV 89118-2557 | 2016-06-27 |
| 1912368200 | Active Management LLC | Pathology | 8445 S Eastern Ave, Las Vegas, NV 89123-2893 | 2016-03-14 |
| 1154400414 | Amy L Llewellyn | Pathology | 475 Kirman Ave, Sierra Pathology Associates, Reno, NV 89502-1907 | 2006-11-06 |
| City | CARSON CITY |
| Zip Code | 89703 |
Please comment or provide details below to improve the information on SUSAN A DOBERNECK.
| 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.