Russ M. Masset, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA817 Issued in NV

Practice address

10085 Double R Blvd
Suite 120
Reno, NV 89521-5860

Phone

(775) 982-5000

Fax

(775) 982-8180

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Renown Urgent Care LLC

  dba Fernley Urgent Care

  • Family Medicine Physician
  • Fernley, NV
  • NPI 1821043381

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1639144215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 KUENZLI ST",
            "address_2": "SUITE 202",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895020845",
            "telephone_number": "775-982-4590",
            "fax_number": "775-982-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10085 DOUBLE R BLVD",
            "address_2": "SUITE 120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215860",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSET",
        "first_name": "RUSS",
        "middle_name": "M.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11832766",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay W Mason, M.D.
• Meekile Nathan Goya Mason, M.D.
• Shari Lynn Mason, OTR/L
• Frankie Massa, MA, NCC, LMFT
• Michael Andrew Massano
• Heather Rose Massey
• Marilyn Massey
• Kira Lyn Marie Mastalka
• Justin N Masters
• Melodie M Masterson

• Physician Assistant in Reno, NV
• Providers in Reno, NV by specialty
• Physician Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.