Active NPI
Boughanem PLLC
Doing business as Advance Medicine Urgent Care
- Orthopaedic Surgery Physician
- Reno, NV
National Provider Identifier
1619873965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- BOUGHANEM PLLC
- Doing business as
- Advance Medicine Urgent Care
Nevada Shoulder and Orthopedic Institute - Practice address
- 770 Mill St
Reno, NV 89502-1321 - Phone
- (775) 553-8081
- Fax
- (775) 553-8081
- NPI assigned
- Oct 14, 2026
- Last updated
- Oct 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jay Boughanem, MD
- Title
- Sole Member
- Phone
- (808) 747-3742
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
770 Mill St
Reno, NV 89502-1321
Mailing address
PO Box 10742
Hilo, HI 96721-5742
Phone (808) 785-4313
Other names 2
- Advance Medicine Urgent Care
- Nevada Shoulder and Orthopedic Institute
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791936000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791936000000",
"number": "1619873965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10742",
"city": "HILO",
"state": "HI",
"postal_code": "967215742",
"telephone_number": "808-785-4313",
"fax_number": "808-500-5504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 MILL ST",
"city": "RENO",
"state": "NV",
"postal_code": "895021321",
"telephone_number": "775-553-8081",
"fax_number": "775-553-8081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOUGHANEM PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-14",
"last_updated": "2026-10-14",
"certification_date": "2026-10-14",
"status": "A",
"authorized_official_last_name": "BOUGHANEM",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "808-747-3742",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advance Medicine Urgent Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Nevada Shoulder and Orthopedic Institute",
"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 Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.