Northern Nevada Surgical Associates, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

NORTHERN NEVADA SURGICAL ASSOCIATES, LLC

Practice address

10085 Double R Blvd
205
Reno, NV 89521-5860

Phone

(775) 335-9008

NPI assigned

Dec 3, 2010

Last updated

Dec 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary E Schultheis, MDNPI 1831218981

Title

Owner

Phone

(775) 335-9008

Specialties & licenses 1

Addresses

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.

• Mary E. Schultheis, MD.

  • Colon & Rectal Surgery Physician
  • Glendale, AZ
  • NPI 1831218981
  NPD (past) Authorized official

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1407158900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10085 DOUBLE R BLVD",
            "address_2": "205",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215860",
            "telephone_number": "775-335-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10085 DOUBLE R BLVD",
            "address_2": "205",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215860",
            "telephone_number": "775-335-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN NEVADA SURGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-03",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "SCHULTHEIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-335-9008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Nevada HIV Outpatient Program, Education and Services (Northern Nevada HOPES)
• Northern Nevada Hyperbarics, Inc. (Northern Nevada Hyperbarics)
• Northern Nevada Mental Health and Substance Abuse, PLLC
• Northern Nevada Oral and Maxillofacial Surgery
• Northern Nevada Plastic Surgery Associates
• Northern Nevada Women's Group
• Northern Sierra Dialysis Center
• Northern Sierra Dialysis Center, LLC. (Northern Sierra Dialysis Center at South Meadows)
• Raina M Northrup
• Northstar Imaging Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.