NPIMap

Organization Active NPI

Reno Tahoe Anesthesia Weaver PC

Doing business as Reno Tahoe Anesthesia PC

  • Anesthesiology Physician
  • Reno, NV
National Provider Identifier
1548816895
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
RENO TAHOE ANESTHESIA WEAVER PC
Doing business as
Reno Tahoe Anesthesia PC
Practice address
625 Innovation Dr
Reno, NV 89511-2215
Phone
(775) 799-7320
NPI assigned
Aug 13, 2019
Last updated
Apr 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Authorized official

Name
Gavin Harvey Hartman, MDNPI 1568728996
Title
President
Phone
(775) 312-6315

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
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

625 Innovation Dr
Reno, NV 89511-2215

Mailing address

PO Box 840559
Los Angeles, CA 90084-0559
Phone (775) 507-3390

Other names 1

  • Reno Tahoe Anesthesia PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200226001459 NV Part B Supplier - Clinic/Group Practice 3971930256 Receives reassigned benefits from 49 practitioners
Practice locations: Sparks, NV; Reno, NV

National Provider Directory

National Provider Directory

Locations

300 E 2nd St
Ste 1230
Reno, NV 89501
Phone (530) 545-1175

Practitioners & affiliated clinicians

Practitioners 68

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 68

NPI Registry JSON

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776816000000",
    "number": "1548816895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840559",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900840559",
            "telephone_number": "775-507-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 INNOVATION DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112215",
            "telephone_number": "775-799-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENO TAHOE ANESTHESIA WEAVER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_middle_name": "HARVEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-312-6315",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reno Tahoe Anesthesia PC",
            "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 Apr 22, 2026; 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.