Organization Active NPI

Boughanem PLLC

Doing business as Advance Medicine Urgent Care

  • Orthopaedic Surgery Physician
  • Reno, NV
National Provider Identifier
1619873965
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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)CodeLicenseStatePrimary
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 Doing business as
  • Nevada Shoulder and Orthopedic Institute Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.