DR. PHYLLIS JOYCE AGER (NPI# 1962405456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962405456 |
| Entity Type | Individual |
| Full Name | DR. PHYLLIS JOYCE AGER |
| Credential | MD |
| Practice Address |
1155 Mill St Mail Code L11 Reno NV 89502-1576 |
| Mailing Address |
780 Kuenzli St Ste 202 Reno NV 89502-0837 |
| Practice Telephone | 7759824000 |
| Practice Fax Number | 7759825639 |
| Mailing Telephone | 7759825205 |
| Mailing Fax Number | 7759825496 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2014-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
11890 | NV | Allopathic & Osteopathic Physicians |
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
G21590 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 11201067 | 01 |
| Street Address |
1155 MILL ST MAIL CODE L11 |
| City | RENO |
| State | NV |
| Zip Code | 89502-1576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830405 | Melissa Kimberly Herrera | Technician | 1155 Mill St, Reno, NV 89502-1576 | 2020-10-27 |
| 1386250298 | Corinne Elizabeth Canavero | Nurse Practitioner | 1155 Mill St, Reno, NV 89502-1576 | 2020-09-17 |
| 1457969479 | Cory Lankford | Pharmacist | 1155 Mill St, Reno, NV 89502-1576 | 2020-07-15 |
| 1710500947 | Dana Robinson | Occupational Therapist | 1155 Mill St, Reno, NV 89502-1576 | 2020-05-21 |
| 1376162495 | Erin Miranda Madsen | Registered Nurse | 1155 Mill St, Reno, NV 89502-1576 | 2020-04-09 |
| 1568092336 | Jodi Danielson | Home Health | 1155 Mill St, Reno, NV 89502-1576 | 2020-01-21 |
| 1184266298 | Janeen Lou Ibarreta | Pharmacist | 1155 Mill St, Reno, NV 89502-1576 | 2019-10-09 |
| 1558914465 | Jasmine Ghuman | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Reno, NV 89502-1576 | 2019-07-19 |
| 1205498987 | Unr | Clinic/Center | 1155 Mill St, Reno, NV 89502-1576 | 2019-07-03 |
| 1831751957 | Sakshi Yadav | Internal Medicine | 1155 Mill St, Reno, NV 89502-1576 | 2019-06-28 |
| Find all providers in the same location | ||||
| 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 Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962842781 | Garth William Tormoen | Radiology | 645 N Arlington Ave Ste 120, Reno, NV 89503-4441 | 2013-06-25 |
| 1437353828 | Daphne Palmer Md Professional Corporation | Radiology | 1155 Mill St L 11, Reno, NV 89502-1474 | 2007-06-12 |
| 1578608899 | Michael K Tay | Radiology | 4820 Buckhaven Rd, Reno, NV 89519-0961 | 2007-02-21 |
| 1366599631 | Michael Kos | Radiology | 10745 Double R Blvd Bldg 13, Reno, NV 89521-8979 | 2007-01-05 |
| 1205891603 | Lawrence R. Dardick | Radiology | 3267 Kingfisher Dr, Reno, NV 89509-3989 | 2006-04-19 |
| 1023088598 | Jonathan Tay | Radiology | 6630 B S Mccarran, Rad Onc Assoc #18, Reno, NV 89509 | 2006-01-25 |
| 1407839103 | Eric C Rost | Radiology | 255 Timbercreek Ct, Reno, NV 89511-2748 | 2005-11-28 |
| 1235757857 | Tay Legarza Shuff PC | Radiology | 645 N Arlington Ave Ste 120, Reno, NV 89503-4441 | 2020-07-09 |
| 1699034868 | Garrett Barnard Green | Radiology | 1155 Mill St, Reno, NV 89502-1576 | 2012-05-09 |
| 1821224080 | Renown Oncologist Group | Radiology | 1155 Mill St, Mail Code L-11, Reno, NV 89502-1576 | 2009-06-02 |
| 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.