GRACCTIC, LLC (NPI# 1730109935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730109935 |
| Entity Type | Organization |
| Organization Name | GRACCTIC, LLC |
| Other Organization Name | SUMMIT RIDGE MEDICAL CENTER |
| Practice Address |
4791 Summit Ridge Drive Reno NV 89523 |
| Practice Telephone | 7756242200 |
| Practice Fax Number | 7756242211 |
| Mailing Telephone | 7756242200 |
| Mailing Fax Number | 7756242211 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT J STEFANKO (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7753372012 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Summit Ridge Medical Center | Doing Business As Name - Organization |
| Street Address |
4791 SUMMIT RIDGE DRIVE |
| City | RENO |
| State | NV |
| Zip Code | 89523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205976222 | Linda Hendrycks | Physician Assistant | 4791 Summit Ridge Drive, Reno, NV 89523 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992351316 | Brian K. Iriye Md and Associates Ltd. | Obstetrics & Gynecology | 9780 S. Mccarran Blvd, #1, Reno, NV 89523 | 2019-08-12 |
| 1003323510 | Tate Health and Wellness, Pllc | Nurse Practitioner | 2005 Sierra Highlands Dr., Suite 101, Reno, NV 89523 | 2018-01-05 |
| 1952810194 | Michael Anacker | Occupational Therapist | 5410 Simons Drive, Reno, NV 89523 | 2017-09-20 |
| 1033570981 | Alison Butler | Speech-Language Pathologist | 7289 Heatherwood Dr., Reno, NV 89523 | 2016-03-18 |
| 1033586417 | Phoenix Providers | Preferred Provider Organization | 3844 Joy Ln, Reno, NV 89523 | 2015-09-01 |
| 1841637006 | Nicole Katherine Butler | Audiologist | 9770 S. Mccarren Blvd, Reno, NV 89523 | 2013-05-29 |
| 1477803922 | Laura Soukup | Speech-Language Pathologist | 5820 Lindsay Drive, Reno, NV 89523 | 2012-09-12 |
| 1578812939 | Jeanine Kay Johnson | Community Health Worker | 9195 Bay Meadows Dr., Reno, NV 89523 | 2012-08-31 |
| 1851626931 | Steven Koning | Optometrist | 9700 South Mccarran Blvd., Reno, NV 89523 | 2009-10-07 |
| 1306083712 | Medical Physics Services | General Acute Care Hospital | 2027 Thornbury Ct., Reno, NV 89523 | 2009-01-08 |
| Find all providers in zip 89523 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497100093 | Occuaptional Health Centers of The Southwest, P.a. | Clinic/Center | 11111 Stead Blvd, Reno, NV 89506-1521 | 2016-05-02 |
| 1033559034 | American Current Care Pa | Clinic/Center | 2500 2nd St, Reno, NV 89595-1200 | 2013-07-05 |
| 1487996054 | American Current Care Pa | Clinic/Center | 6410 S Virginia St, Reno, NV 89511-1103 | 2013-03-21 |
| 1326350778 | St. Mary's Chw Primary Care Plus | Clinic/Center | 235 W 6th St, Reno, NV 89503-4548 | 2010-07-13 |
| 1326291592 | Primary Care Plus | Clinic/Center | 18653 Wedge Pkwy, Reno, NV 89511-3323 | 2008-10-31 |
| 1235392820 | Crum Doggwiler and Stefanko Ltd A Professional Corporation | Clinic/Center | 4791 Summit Ridge Dr, Reno, NV 89523-7917 | 2008-07-03 |
| 1205098555 | North Valley Medical Associates | Clinic/Center | 6542 S Mccarran Blvd, Ste B, Reno, NV 89509-6142 | 2008-06-27 |
| 1578760567 | Crum Doggwiler and Stefanko Ltd | Clinic/Center | 4791 Summit Ridge Dr, Reno, NV 89523 | 2007-07-02 |
| 1083817340 | Thompson, Dudding and Clark | Clinic/Center | 75 Pringle Way, Reno, NV 89502-1464 | 2007-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013527845 | Carefirst Urgent Care, LLC | Clinic/Center | 5216 Boulder Hwy Ste 105, Las Vegas, NV 89122-6075 | 2020-08-06 |
| 1710549829 | University Medical Center of Southern Nevada | Clinic/Center | 4760 Blue Diamond Rd Ste 110, Las Vegas, NV 89139-7665 | 2019-06-28 |
| 1053879221 | Mclaughlin Medical Services Pllc | Clinic/Center | 1181 Grier Dr Ste C, Las Vegas, NV 89119-3746 | 2019-03-06 |
| 1710393392 | Optum Clinic Pa | Clinic/Center | 69 S Valle Verde Dr., Henderson, NV 89012 | 2014-07-03 |
| 1073939609 | A Plus Urgent Care LLC | Clinic/Center | 976 Mountain City Hwy, Elko, NV 89801-2728 | 2014-03-06 |
| 1013332378 | Patient Pal Urgent Care LLC | Clinic/Center | 11860 Southern Highlands Pkwy, #102, Las Vegas, NV 89141-3303 | 2014-02-24 |
| 1649522533 | Durango &cheyenne,llc | Clinic/Center | 8300 W Cheyenne, Suite 106, Las Vegas, NV 89129 | 2012-10-03 |
| 1730431651 | Warm Springs & Green Valley,llc | Clinic/Center | 2269 N Green Valley Pkwy, Henderson, NV 89014 | 2012-10-03 |
| 1174874895 | Eastern & Horizon Ridge,llc | Clinic/Center | 10652 S Eastern Avenue, Suite A, Henderson, NV 89052 | 2012-09-20 |
| 1033471941 | R&r Medical Group, LLC | Clinic/Center | 655 S Green Valley Pkwy, Ste 100, Henderson, NV 89052-0404 | 2012-06-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on GRACCTIC, LLC.
| 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.