Garry Kiernan MD Inc

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

G50058 Issued in CA

Legal business name

GARRY KIERNAN MD INC

Practice address

1600 Medical Pkwy
Carson Tahoe Regional Medical Center
Carson City, NV 89703-4625

Phone

(775) 445-8795

Fax

(775) 888-4447

NPI assigned

Sep 5, 2006

Organization subpart

No

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

Authorized official

Name

Garry Joseph Kiernan, MD

Title

President

Phone

(775) 267-5162

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1316049604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 CALISTOGA RD",
            "address_2": "#314",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954093702",
            "telephone_number": "707-539-0210",
            "fax_number": "707-539-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL PKWY",
            "address_2": "CARSON TAHOE REGIONAL MEDICAL CENTER",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034625",
            "telephone_number": "775-445-8795",
            "fax_number": "775-888-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRY KIERNAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "KIERNAN",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-267-5162",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G50058",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G50058",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "G50058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hospitalist Physician in Carson City, NV
• Providers in Carson City, NV by specialty
• Hospitalist Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.