Active NPI
Thomas L. Schwenk, MD
- Family Medicine Physician
- Reno, NV
National Provider Identifier
1063501922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14002
- Practice address
- 123 17TH Street, Mail Stop 316
Brigham Building
Reno, NV 89557 - Phone
- (775) 784-1533
- Fax
- (775) 784-8075
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301047795 | MI | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 4301047795 | MI | |
| Family Medicine Physician | 207Q00000X | 14002 | NV | Primary |
Addresses
Primary practice location
123 17TH Street, Mail Stop 316
Brigham Building
Reno, NV 89557
Mailing address
401 West 2ND Street
Nelson/227/Mail Stop 353
Reno, NV 89503
Phone (775) 784-1223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1641600 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301047795 | MI | MD | Sports Medicine (Family Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1063501922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 WEST 2ND STREET",
"address_2": "NELSON/227/MAIL STOP 353",
"city": "RENO",
"state": "NV",
"postal_code": "89503",
"telephone_number": "775-784-1223",
"fax_number": "775-327-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 17TH STREET, MAIL STOP 316",
"address_2": "BRIGHAM BUILDING",
"city": "RENO",
"state": "NV",
"postal_code": "89557",
"telephone_number": "775-784-1533",
"fax_number": "775-784-8075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWENK",
"first_name": "THOMAS",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301047795",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "MI",
"license": "4301047795",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NV",
"license": "14002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1641600",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.