MR. SHAJI O MATHEW


Address: 75 Pringle Way, Suite 706, Reno, NV 89502-1464
Phone: 7753236822

MR. SHAJI O MATHEW (NPI# 1902873755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902873755
Entity Type Individual
Full Name MR. SHAJI O MATHEW
Credential M.D,PHD
Practice Address 75 Pringle Way
Suite 706
Reno
NV 89502-1464
Practice Telephone 7753236822
Practice Fax Number 7753233822
Mailing Telephone 7753236822
Mailing Fax Number 7753233822
Enumeration Date 2006-03-01
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
9909 NV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NV NEVADACARE COMMERC,MCAID 195574 01

Other Providers SHAJI MATHEW

NPI Name Taxonomy Address Enumeration
1588987440 Shaji Mathew Pharmacist 540 Amsterdam Ave, Manhatten, NY 10024 2010-03-08

Office Location

Street Address 75 PRINGLE WAY
SUITE 706
City RENO
State NV
Zip Code 89502-1464

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043218431 Jeffrey K Beall Otolaryngology 75 Pringle Way, Suite 509, Reno, NV 89502-1464 2005-07-11
1497238257 Tiffany Broce Nurse Practitioner 75 Pringle Way, Reno, NV 89502-1464 2018-09-07
1346772910 Laura Michelle Orange Registered Nurse 75 Pringle Way, Reno, NV 89502-1464 2017-04-01
1285171249 Sierra Infectious Disease Clinic/Center 75 Pringle Way, Suite 705, Reno, NV 89502-1464 2017-01-27
1023550704 Heather Nicole Carroll Nurse Practitioner 75 Pringle Way, Suite 512, Reno, NV 89502-1464 2016-11-10
1548712771 Gomez Kozar Mcelreath Smith Nurse Practitioner 75 Pringle Way, Suite 1002, Reno, NV 89502-1464 2016-11-04
1407219801 Amy Gardner Physician Assistant 75 Pringle Way, Suite 804, Reno, NV 89502-1464 2016-04-01
1417320540 Sierra Pediatric Blood and Cancer Consortium Pediatrics 75 Pringle Way, Reno, NV 89502-1464 2015-11-11
1306216163 Karen E Dosh Registered Nurse 75 Pringle Way, Suite 1002, Reno, NV 89502-1464 2015-10-05
1811331713 Chiyo Wendy Takehara Family Medicine 75 Pringle Way, Suite 601, Reno, NV 89502 2013-04-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992314264 State of Nevada Community/Behavioral Health 4600 Kietzke Lane Bldg D, Reno, NV 89502 2020-07-23
1447879259 Ryan Johnson Student in an Organized Health Care Education/Training Program 1155 Mill St. W-11, Reno, NV 89502 2020-04-11
1396378063 Domingko Loney Chore Provider 1325 Air Motive Wat St 262, Reno, NV 89502 2020-02-20
1053954842 Derek Craig Home Health Aide 1000 Havard Way #29, Reno, NV 89502 2019-10-24
1477108124 Marisa Rachael Traversie Nurse Practitioner 910 Vista Boulevard, Sparks, NV 89502 2019-08-08
1912564675 Patrick Llewellyn Merrill Social Worker 975 Kirman Ave - Ch 116, Reno, NV 89502 2019-05-28
1881154706 Naresh Kumar Veerabattini Student in an Organized Health Care Education/Training Program 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 2019-03-25
1053899187 Daphne London Behavioral Analyst 1325 Airmotive Way Ste 260, Reno, NV 89502 2018-07-31
1790271609 Jennifer J Padolina Optometrist 2296 Kietzke Ln, Reno, NV 89502 2018-07-03
1336630185 Lindsey Cherie Cooper Technician 3563 Sol Grande Ct, Reno, NV 89502 2018-05-27
Find all providers in zip 89502

Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245527753 Patrick J Colletti Pediatrics 1001 Jones St, Reno, NV 89503-5512 2011-07-05
1154613289 Bejal Patel Pediatrics 901 E 2nd St, Ste 201, Reno, NV 89502-1175 2011-05-08
1144489535 Univy of Nv School of Medicine Multispecialty Group Practice North Inc Pediatrics 75 Pringle Way, 909, Reno, NV 89502-1464 2008-06-02
1649371600 Colletti Md PC Pediatrics 1001 Jones St, Reno, NV 89503-5512 2006-09-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154548410 Jose Rodriquez Simpao Jr. Pediatrics 6850 N Durango Dr Ste 120, Las Vegas, NV 89149-4596 2007-04-19
1659457935 Michael L. Levin Pediatrics 220 E Horizon Dr Ste A, Henderson, NV 89015-8001 2006-10-28
1114003498 Marcy A. Kulic Pediatrics 600 Whitney Ranch Dr Ste A1, Henderson, NV 89014-2631 2006-10-28
1548664386 University of Nv School of Medicine Multi-specialty Group South Pediatrics 1524 Pinto Ln, 3rd Floor, Las Vegas, NV 89106-4195 2014-10-21
1033436621 University of Nv School Multispecialty Group Practice South Inc Pediatrics 3006 S Maryland Pkwy, 320, Las Vegas, NV 89109-2218 2010-04-23
1508055260 Nevada Children's Clinic Pediatrics 8352 W Warm Springs Rd, Suite 210, Las Vegas, NV 89113-3628 2007-10-18
1477632685 Rosalita C Jurani Pediatrics 633 N Decatur Blvd, Suite A, Las Vegas, NV 89107-1943 2006-11-06
1952342891 Renu S Batra Pediatrics 3650 S Eastern Ave, # 230, Las Vegas, NV 89109-3379 2006-06-10
1194787002 David Hanlon Barton Pediatrics 1524 Pinto Ln, Las Vegas, NV 89106-4195 2006-04-05

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City RENO
Zip Code 89502

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Dataset Information

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.

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