Geriatric Specialty Care Of Nevada, Pllc, Steven L. Phillips, M.d. | |
781 Mill St Reno NV 89502-1320 | |
(775) 398-1981 | |
(775) 398-1984 |
Full Name | Geriatric Specialty Care Of Nevada, Pllc, Steven L. Phillips, M.d. |
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Speciality | Internal Medicine |
Location | 781 Mill St, Reno, Nevada |
Authorized Official Name and Position | Jeremy Phillips (CEO) |
Authorized Official Contact | 7753981981 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Geriatric Specialty Care Of Nevada, Pllc, Steven L. Phillips, M.d. 781 Mill St Reno NV 89502-1320 Ph: (775) 398-1981 | Geriatric Specialty Care Of Nevada, Pllc, Steven L. Phillips, M.d. 781 Mill St Reno NV 89502-1320 Ph: (775) 398-1981 |
NPI Number | 1205088838 |
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Provider Enumeration Date | 10/14/2008 |
Last Update Date | 03/08/2023 |
Medicare PECOS PAC ID | 6901969518 |
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Medicare Enrollment ID | O20090108000170 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205088838 | NPI | - | NPPES |
1205088838 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | 6596 (Nevada) | Primary |
207RG0300X | Internal Medicine - Geriatric Medicine | 9713 (Nevada) | Secondary |
Provider Name | Gena S Turner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487634325 PECOS PAC ID: 8921095696 Enrollment ID: I20040427000175 |
Provider Name | Marirose F Cutillar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033300611 PECOS PAC ID: 3072503663 Enrollment ID: I20040515000086 |
Provider Name | Richard Rosen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003813700 PECOS PAC ID: 4688652894 Enrollment ID: I20040727000101 |
Provider Name | Steven E Rubin |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1902975923 PECOS PAC ID: 6709846066 Enrollment ID: I20041013000638 |
Provider Name | Mary M Maul |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336100676 PECOS PAC ID: 3678587508 Enrollment ID: I20060131000452 |
Provider Name | Kimberly E Hathcock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609809128 PECOS PAC ID: 6800806977 Enrollment ID: I20060503000735 |
Provider Name | Roland Pua |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215009782 PECOS PAC ID: 2961403035 Enrollment ID: I20070117000107 |
Provider Name | Laura Sheeley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669483327 PECOS PAC ID: 1951464502 Enrollment ID: I20090108000534 |
Provider Name | Steven L Phillips |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285646240 PECOS PAC ID: 4486672128 Enrollment ID: I20090112000057 |
Provider Name | Melissa L Miller |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265591465 PECOS PAC ID: 3476619511 Enrollment ID: I20090225000619 |
Provider Name | Mayvelyn Y Erichsen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053653998 PECOS PAC ID: 5395971790 Enrollment ID: I20131113000599 |
Provider Name | Theresa L Goins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255729216 PECOS PAC ID: 9436439437 Enrollment ID: I20161208002525 |
Provider Name | Probir K Sarker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790126605 PECOS PAC ID: 4587948021 Enrollment ID: I20170301002259 |
Provider Name | Emanuella Pomerlyan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083159719 PECOS PAC ID: 5092090340 Enrollment ID: I20170328002674 |
Provider Name | Maria Shiela Jacobson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962851550 PECOS PAC ID: 3375824899 Enrollment ID: I20190429001534 |
Provider Name | Grace A Gleason |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982991576 PECOS PAC ID: 9234391970 Enrollment ID: I20190828003303 |
Provider Name | Alice Kim |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497144620 PECOS PAC ID: 8123344751 Enrollment ID: I20191015003532 |
Provider Name | Irlonda Poindexter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598380958 PECOS PAC ID: 5799199097 Enrollment ID: I20210128000161 |
Provider Name | William Richard Ford |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356916597 PECOS PAC ID: 4587065545 Enrollment ID: I20210628002766 |
Provider Name | Michelle Ann Riches |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710417845 PECOS PAC ID: 2062814460 Enrollment ID: I20210707003666 |
Provider Name | Antinea Marshella Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952987042 PECOS PAC ID: 4486050184 Enrollment ID: I20210903001433 |
Provider Name | Christine Lyzette Villangca Villa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942970462 PECOS PAC ID: 9739579814 Enrollment ID: I20211203000850 |
Provider Name | Lauren Poppen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306275607 PECOS PAC ID: 1759512916 Enrollment ID: I20220523001222 |
Provider Name | Kendell Michelle Cannon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194016600 PECOS PAC ID: 9234361163 Enrollment ID: I20230217002062 |
Provider Name | Sarah Elizabeth Sudtell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396396578 PECOS PAC ID: 5597119016 Enrollment ID: I20231002001833 |
Provider Name | Sue Freeman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841353208 PECOS PAC ID: 0446426043 Enrollment ID: I20240228004712 |
Provider Name | Bylly Botanny |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902326598 PECOS PAC ID: 7618331976 Enrollment ID: I20240308002550 |
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