| Gad 3 Llc | |
|
1950 Baring Blvd Sparks NV 89434-6735 | |
| (385) 454-5027 | |
| Not Available |
| Full Name | Gad 3 Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1950 Baring Blvd, Sparks, Nevada |
| Authorized Official Name and Position | Aaron Anderson (OWNER) |
| Authorized Official Contact | 3854545027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gad 3 Llc 13894 S Bangerter Pkwy Ste 200 Draper UT 84020-5320 Ph: (385) 454-5027 | Gad 3 Llc 1950 Baring Blvd Sparks NV 89434-6735 Ph: (385) 454-5027 |
| NPI Number | 1538997119 |
|---|---|
| Provider Enumeration Date | 07/24/2024 |
| Last Update Date | 07/24/2024 |
| Medicare PECOS PAC ID | 2062943038 |
|---|---|
| Medicare Enrollment ID | O20241001002546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538997119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph J Teichgraeber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023070091 PECOS PAC ID: 7113919689 Enrollment ID: I20040823000595 |
| Provider Name | Denver Miller |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1326059254 PECOS PAC ID: 1153375712 Enrollment ID: I20090303000537 |
| Provider Name | Daniris Leonor Lundbom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801469739 PECOS PAC ID: 5991101107 Enrollment ID: I20210913002251 |
| Provider Name | Aaron Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730317348 PECOS PAC ID: 4082751896 Enrollment ID: I20241001002585 |
| Provider Name | Whitney L Fender |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669043956 PECOS PAC ID: 2264963248 Enrollment ID: I20241001002895 |
| Provider Name | Nichole Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851122352 PECOS PAC ID: 0941731939 Enrollment ID: I20241001003441 |
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