NPIMap

Organization Active NPI

Jenny a Van Duyne MD LTD

  • Otolaryngology Physician
  • Reno, NV
National Provider Identifier
1235314725
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
9031 Issued in NV
Legal business name
JENNY A VAN DUYNE MD LTD
Practice address
9770 S McCarran Blvd
Reno, NV 89523
Phone
(775) 322-4589
Fax
(775) 322-3787
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Jenny A Van Duyne, MD
Title
Owner Physician
Phone
(775) 322-4589

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X 9031 NV Primary
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0099X 9031 NV

Addresses

Primary practice location

9770 S McCarran Blvd
Reno, NV 89523

Mailing address

9770 S McCarren Blvd
Reno, NV 89523
Phone (775) 322-4589

Other identifiers 1

IdentifierTypeStateIssuer
002016208MedicaidNV

National Provider Directory

National Provider Directory

Locations

85 Kirman Ave
Ste 403
Reno, NV 89502
Phone (702) 322-4589

9770 S McCarran Blvd
Reno, NV 89523
Phone (775) 284-8511

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1235314725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9770 S MCCARREN BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89523",
            "telephone_number": "775-322-4589",
            "fax_number": "775-322-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9770 S MCCARRAN BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89523",
            "telephone_number": "775-322-4589",
            "fax_number": "775-322-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY A VAN DUYNE MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "VAN DUYNE",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "775-322-4589",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "NV",
            "license": "9031",
            "primary": true
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "NV",
            "license": "9031",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016208",
            "state": "NV"
        }
    ],
    "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 May 2, 2008; 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.