Jerry S. Matsumura, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

7899 Issued in NV

Practice address

18124 Wedge Pkwy Ste 232
Reno, NV 89511-8134

Phone

(888) 280-0379

Fax

(775) 853-2728

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jerry Matsumura MD, Inc. a Professional Corporation

  • Anesthesiology Physician
  • Reno, NV
  • NPI 1962455907
  NPD (past) Authorized official

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1376596221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18124 WEDGE PKWY STE 232",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895118134",
            "telephone_number": "801-993-9534",
            "fax_number": "775-853-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18124 WEDGE PKWY STE 232",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895118134",
            "telephone_number": "888-280-0379",
            "fax_number": "775-853-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUMURA",
        "first_name": "JERRY",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "7899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Mathisen
• Victoria Ilona Matica
• Caleb Charles Matlock, RN, RRT
• Matson Investments Inc. (American Pride Home Health Care)
• Panagiota Matsukas
• Jaron Nobuo Matsunaka, DO
• Brielle Matsuoka Wong
• Sky Matt
• Mitchell Mattaz
• Christi Matteoni, MD

• Anesthesiology Physician in Reno, NV
• Providers in Reno, NV by specialty
• Anesthesiology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.