Organization Active NPI

Jerry Matsumura MD, Inc. a Professional Corporation

  • Anesthesiology Physician
  • Reno, NV
National Provider Identifier
1962455907
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
7899 Issued in NV
Legal business name
JERRY MATSUMURA MD, INC. A PROFESSIONAL CORPORATION
Practice address
18124 Wedge Pkwy Ste 232
Reno, NV 89511-8134
Phone
(801) 993-9534
Fax
(775) 853-2728
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Jerry S. Matsumura, MDNPI 1376596221
Title
President
Phone
(801) 993-9534

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 7899 NV Primary

Addresses

Primary practice location

18124 Wedge Pkwy Ste 232
Reno, NV 89511-8134

Mailing address

18124 Wedge Pkwy Ste 232
Reno, NV 89511-8134
Phone (801) 993-9534

National Provider Directory

National Provider Directory

Locations

10463 Double R Blvd
#R
Reno, NV 89521
Phone (775) 851-9400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1962455907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18124 WEDGE PKWY STE 232",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895118134",
            "telephone_number": "801-993-9534",
            "fax_number": "775-853-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18124 WEDGE PKWY STE 232",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895118134",
            "telephone_number": "801-993-9534",
            "fax_number": "775-853-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY MATSUMURA MD, INC. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "MATSUMURA",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-993-9534",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "7899",
            "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 Feb 1, 2008; 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.