Organization Active NPI

Orthopaedics Sports & Workers Medical Group Inc

  • Orthopaedic Surgery Physician
  • Reno, NV
National Provider Identifier
1750942546
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOPAEDICS SPORTS & WORKERS MEDICAL GROUP INC
Practice address
804 Mill St
Reno, NV 89502-1421
Phone
(775) 657-8171
Fax
(775) 657-8202
NPI assigned
Jun 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Authorized official

Name
Dr. Gary Royce Wisner, MD
Title
President
Phone
(209) 368-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

804 Mill St
Reno, NV 89502-1421

Mailing address

621 S Ham LN Ste a
Lodi, CA 95242-3533
Phone (209) 368-7777

National Provider Directory

National Provider Directory

Locations

621 S Ham Ln
Ste A
Lodi, CA 95242
Phone (209) 334-8514

804 Mill St
Reno, NV 89502
Phone (775) 657-8171

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1750942546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S HAM LN STE A",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423533",
            "telephone_number": "209-368-7777",
            "fax_number": "209-368-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021421",
            "telephone_number": "775-657-8171",
            "fax_number": "775-657-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDICS SPORTS & WORKERS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "WISNER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ROYCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-368-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 25, 2019; 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.