NPIMap

Organization Active NPI

Pickert Medical Group, P.C.

  • Anesthesiology Physician
  • Reno, NV
National Provider Identifier
1164590204
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PICKERT MEDICAL GROUP, P.C.
Practice address
1 E Liberty St
Suite 555
Reno, NV 89501-2097
Phone
(775) 348-1900
NPI assigned
Nov 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew J. Hoberg, M.D.
Title
President
Phone
(774) 750-4110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1 E Liberty St
Suite 555
Reno, NV 89501-2097

Mailing address

1305 Walt Whitman Rd Ste 300
Melville, NY 11747-4300
Phone (516) 208-4250

Other identifiers 1

IdentifierTypeStateIssuer
100505684MedicaidNV

Other names 1

  • Class, Idler And Associates, P.C. Former legal business name

National Provider Directory

National Provider Directory

Locations

300 S Arlington Ave
Reno, NV 89501
Phone (775) 348-1900

1 E Liberty St
Ste 555
Reno, NV 89501
Phone (775) 348-1900

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1164590204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WALT WHITMAN RD STE 300",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474300",
            "telephone_number": "516-208-4250",
            "fax_number": "704-248-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E LIBERTY ST",
            "address_2": "SUITE 555",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895012097",
            "telephone_number": "775-348-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKERT MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "HOBERG",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "774-750-4110",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100505684",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Class, Idler And Associates, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Class, Idler And Associates, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.