Individual provider Active NPI

Pamela E Netuschil, MD

  • Specialist
  • Reno, NV
National Provider Identifier
1629169206
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
8595 Issued in NV
Practice address
6580 S McCarran Blvd
Suite a
Reno, NV 89509-6160
Phone
(775) 432-1343
Fax
(775) 324-0858
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 8595 NV Primary

Addresses

Primary practice location

6580 S McCarran Blvd
Suite a
Reno, NV 89509-6160

Mailing address

6580 S McCarran Blvd
Suite a
Reno, NV 89509-6160
Phone (775) 432-1343

Other identifiers 1

IdentifierTypeStateIssuer
002016898MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160726000327 NV Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 9830277342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8595NVMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1629169206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6580 S MCCARRAN BLVD",
            "address_2": "SUITE A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096160",
            "telephone_number": "775-432-1343",
            "fax_number": "775-324-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6580 S MCCARRAN BLVD",
            "address_2": "SUITE A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096160",
            "telephone_number": "775-432-1343",
            "fax_number": "775-324-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETUSCHIL",
        "first_name": "PAMELA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "8595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002016898",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.