NPIMap

Organization Active NPI

Prutzman & Osgood Orthopedic Surgeons

  • Orthopaedic Surgery Physician
  • Reno, NV
National Provider Identifier
1508931338
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
207X00000X Issued in NV
Legal business name
PRUTZMAN & OSGOOD ORTHOPEDIC SURGEONS
Practice address
689 Sierra Rose Dr
Suite B
Reno, NV 89511-2060
Phone
(775) 786-2100
Fax
(775) 786-7706
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2011

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

Authorized official

Name
Dr. William J. Gray III, M.D.NPI 1962458844
Title
President
Phone
(775) 786-2100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 207X00000X NV Primary

Addresses

Primary practice location

689 Sierra Rose Dr
Suite B
Reno, NV 89511-2060

Mailing address

689 Sierra Rose Dr
Suite B
Reno, NV 89511-2060
Phone (775) 786-2100

Other identifiers 1

IdentifierTypeStateIssuer
XPY190263MedicaidCA

Other names 1

  • Advanced Orthopedics Doing business as

National Provider Directory

National Provider Directory

Locations

689 Sierra Rose Dr
Ste B
Reno, NV 89511
Phone (775) 323-3000

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": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1508931338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 SIERRA ROSE DR",
            "address_2": "SUITE B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112060",
            "telephone_number": "775-786-2100",
            "fax_number": "775-786-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 SIERRA ROSE DR",
            "address_2": "SUITE B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112060",
            "telephone_number": "775-786-2100",
            "fax_number": "775-786-7706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUTZMAN & OSGOOD ORTHOPEDIC SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-786-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NV",
            "license": "207X00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XPY190263",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 24, 2011; 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.