Sierra Neurology LLP

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

1253 Issued in NV

Legal business name

SIERRA NEUROLOGY LLP

Practice address

896 W Nye LN
Suite 203
Carson City, NV 89703-1544

Phone

(775) 883-4411

Fax

(775) 883-1701

NPI assigned

Nov 29, 2006

Organization subpart

No

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

Authorized official

Name

Miracle Wangsuwana, D.O.NPI 1750377693

Title

Partner

Phone

(775) 883-4411

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Miracle Wangsuwana, D.O.

  • Neurology Physician
  • North Las Vegas, NV
  • NPI 1750377693
  NPD (past) Authorized official

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164599478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "896 W NYE LN",
            "address_2": "SUITE 203",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897031544",
            "telephone_number": "775-883-4411",
            "fax_number": "775-883-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "896 W NYE LN",
            "address_2": "SUITE 203",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897031544",
            "telephone_number": "775-883-4411",
            "fax_number": "775-883-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA NEUROLOGY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WANGSUWANA",
        "authorized_official_first_name": "MIRACLE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "775-883-4411",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NV",
            "license": "1253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Shumway
• Makayla Shuttler
• Sierra Acupuncture and Healing Arts
• Sierra Counseling & Neurotherapy, LLC
• Sierra Healing House
• Sierra Nevada ENT Associates LTD
• Sierra Nevada Hearing Aid Center Paul Manoukian. & Brian Romanesch
• Sierra Nevada Holistic Services, LLC.
• Sierra Nevada Surgical Associates
• Sierra Oxygen Service Inc.

• All providers in Carson City, NV
• Medical Specialty Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.