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

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

NV20071378617 Issued in NV

Legal business name

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

Practice address

5560 Kietzke LN BLDG a
Reno, NV 89511

Phone

(775) 322-7811

Fax

(775) 334-4191

NPI assigned

Dec 29, 2011

Last updated

Jul 13, 2018By the provider in NPPES

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

Mr. Stephen Gabelich, FACMPE

Title

Cheif 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": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1972872497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 KIETZKE LN BLDG A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "775-322-7811",
            "fax_number": "775-334-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 KIETZKE LN BLDG A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "775-322-7811",
            "fax_number": "775-334-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY NEVADA LTD DRS DREW FREEMAN GAREY-SAGE GOODE HALD KANLLOS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UROLOGY NEVADA LTD DRS DREW FREEMAN GAREY-SAGE GOODE HALD KANELLOS",
        "enumeration_date": "2011-12-29",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "GABELICH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CHEIF OPERATING OFFICER",
        "authorized_official_telephone_number": "775-322-7811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FACMPE"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NV",
            "license": "NV20071378617",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NV",
            "license": "NV20071378617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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 Kanellos
• Urology Nevada LTD. Dr. Gholdoian (Oncology Nevada)
• Urrutia Surgical Assisting, LLC
• Krystal Leann Urrutia, CSA
• Dena Urso
• US Holdings LLC (LifeQuest Behavioal Health Care)

• 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 13, 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.