Organization Active NPI

Saint Marys Medical Group Inc.

Doing business as Saint Mary's Medical Group

  • Primary Care Clinic/Center
  • Reno, NV
National Provider Identifier
1538424239
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SAINT MARYS MEDICAL GROUP INC.
Doing business as
Saint Mary's Medical Group
Practice address
411 W 6TH St
Reno, NV 89503-4415
Phone
(775) 770-7600
Fax
(775) 770-7880
NPI assigned
Jul 9, 2012
Last updated
Feb 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Authorized official

Name
Christopher Doan
Title
Legal Counsel
Phone
(310) 259-4706

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU
Clinical Cardiac Electrophysiology Physician 207RC0001X NU
Critical Care Medicine (Internal Medicine) Physician 207RC0200X NU
Pulmonary Disease Physician 207RP1001X NU
Obstetrics & Gynecology Physician 207V00000X NU
Maternal & Fetal Medicine Physician 207VM0101X NU
Pediatric Adolescent Medicine Physician 2080A0000X NU
Neurology Physician 2084N0400X NU
Diagnostic Radiology Physician 2085R0202X NU
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X NU
Hospitalist Physician 208M00000X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Multi-Specialty Clinic/Center 261QM1300X NU
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

411 W 6TH St
Reno, NV 89503-4415

Mailing address

411 W 6TH St
Reno, NV 89503-4415
Phone (775) 770-7348

Other names 1

  • Saint Mary's Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130422000013 NV Part B Supplier - Clinic/Group Practice 7618113523 Receives reassigned benefits from 62 practitioners
2 other NPIs on this enrollment
Practice locations: Reno, NV; Sparks, NV

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

10523 Professional Cir B
Reno, NV 89521

18653 Wedge Pkwy
Ste 300
Reno, NV 89511
Phone (775) 770-7210

280 Vista Knoll Pkwy
Ste 110
Reno, NV 89506

411 W 6th St
Fl 2
Reno, NV 89503

645 N Arlington Ave
Ste 4
Reno, NV 89503
Phone (775) 329-6241

645 N Arlington Ave
Ste 440
Reno, NV 89503

645 N Arlington Ave
Ste 440460
Reno, NV 89503

645 N Arlington Ave
Ste 460
Reno, NV 89503
Phone (775) 770-7404

645 N Arlington Ave
Ste 595
Reno, NV 89503

645 N Arlington Ave
Ste 655
Reno, NV 89503
Phone (775) 333-5555

645 N Arlington Ave
Ste 660
Reno, NV 89503
Phone (775) 746-3338

8040 S Virginia St
Reno, NV 89511

8040 S Virginia St
Ste 4
Reno, NV 89511
Phone (775) 770-7480

8165 S Virginia St
Reno, NV 89511
Phone (775) 851-7772

5070 Ion Dr
Ste 100A
Sparks, NV 89436

Practitioners & affiliated clinicians

Practitioners 160

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.

View all 160

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1538424239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W 6TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034415",
            "telephone_number": "775-770-7348",
            "fax_number": "775-770-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W 6TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034415",
            "telephone_number": "775-770-7600",
            "fax_number": "775-770-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MARYS MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "LEGAL COUNSEL",
        "authorized_official_telephone_number": "310-259-4706"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Mary's Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Saint Mary's Medical Group",
            "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 Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.