Gurjeet Kaur Wadia, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4661 Issued in NV

Practice address

236 W 6TH St Ste 307
Reno, NV 89503-4577

Phone

(775) 329-6465

Fax

(775) 329-5834

NPI assigned

Aug 17, 2006

Last updated

Oct 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Renown Regional Medical Center

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1124098421
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1851404123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W 6TH ST STE 307",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034577",
            "telephone_number": "775-329-6465",
            "fax_number": "775-329-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W 6TH ST STE 307",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034577",
            "telephone_number": "775-329-6465",
            "fax_number": "775-329-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADIA",
        "first_name": "GURJEET",
        "middle_name": "KAUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "4661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20-16403",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31-16403",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• W B Hackstaff, DDS, LTD.
• W R Trimmer MD LTD
• Anna Katharine Waal, RD
• Catherine Wade, APRN
• Kelsi Wade
• Haleyrae Wadkins
• William Blake Wager III, D.D.S
• Perry M. Waggoner, M.D.
• Emma Wagner-Powning, M.S. CCC-SLP
• Amanda Marie Wagner, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.