Organization Active NPI

Crum Doggwiler and Stefanko LTD a Professional Corporation

  • Urgent Care Clinic/Center
  • Reno, NV
National Provider Identifier
1235392820
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CRUM DOGGWILER AND STEFANKO LTD A PROFESSIONAL CORPORATION
Practice address
4791 Summit Ridge Dr
Reno, NV 89523-7917
Phone
(775) 624-2200
Fax
(775) 624-2211
NPI assigned
Jul 3, 2008
Last updated
Jul 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Nadine R Jacobs
Title
Administrator
Phone
(775) 624-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

4791 Summit Ridge Dr
Reno, NV 89523-7917

Mailing address

4791 Summit Ridge Dr
Reno, NV 89523-7917
Phone (775) 624-2200

Other names 1

  • Summit Ridge Medical Center Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1235392820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4791 SUMMIT RIDGE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895237917",
            "telephone_number": "775-624-2200",
            "fax_number": "775-624-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4791 SUMMIT RIDGE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895237917",
            "telephone_number": "775-624-2200",
            "fax_number": "775-624-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUM DOGGWILER AND STEFANKO LTD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "NADINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "775-624-2200"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Ridge Medical Center",
            "code": "5",
            "type": "Other 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 Jul 25, 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.