Urology Nevada LTD DRS Drew Freeman Garey-Sage Goode Hald Kanellos

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

NV20071378617 Issued in NV

Legal business name

UROLOGY NEVADA LTD DRS DREW FREEMAN GAREY-SAGE GOODE HALD KANELLOS

Practice address

5560 Kietzke LN
BLDG. a
Reno, NV 89511

Phone

(775) 322-7811

Fax

(775) 322-1431

NPI assigned

Jan 11, 2012

Organization subpart

Yes

Parent organization

UROLOGY NEVADA LTD DRS DREW FREEMAN GAREY-SAGE GOODE HALD KANELLOSAs reported in NPPES

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

Authorized official

Name

Stephen Gabelich, FACMPE

Title

Chief Operating Officer

Phone

(775) 322-7811

Specialties & licenses 2

Addresses

Part of

Urology Nevada LTD

Locations

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1790055473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 KIETZKE LN",
            "address_2": "BLDG. A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "775-322-7811",
            "fax_number": "775-322-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 KIETZKE LN",
            "address_2": "BLDG. A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "775-322-7811",
            "fax_number": "775-322-1431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10745 Double R Blvd",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895218979",
            "country_code": "US",
            "telephone_number": "775-850-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UROLOGY NEVADA LTD DRS DREW FREEMAN GAREY-SAGE GOODE HALD KANELLOS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UROLOGY NEVADA LTD DRS DREW FREEMAN GAREY-SAGE GOODE HALD KANELLOS",
        "enumeration_date": "2012-01-11",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "GABELICH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "775-322-7811",
        "authorized_official_credential": "FACMPE"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "NV",
            "license": "NV20071378617",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "NV20071378617",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia R Uren
• Urgent Home Health Care, Inc. (1Care Home Health Care Reno)
• Urologic Surgeons LTD
• Urology Nevada Center
• Urology Nevada LTD (Urology Nevada)
• Urology Nevada LTD DRS Drew Freeman Garey-Sage Goode Hald Kanllos
• Urology Nevada LTD. Dr. Gholdoian (Oncology Nevada)
• Urrutia Surgical Assisting, LLC
• Krystal Leann Urrutia, CSA
• Dena Urso

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.