| Northeastern Nevada Physician Practices Llc | |
|
2001 Errecart Blvd Elko NV 89801-8333 | |
| (775) 738-8660 | |
| (775) 738-6661 |
| Full Name | Northeastern Nevada Physician Practices Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2001 Errecart Blvd, Elko, Nevada |
| Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeastern Nevada Physician Practices Llc 1995 Errecart Blvd Suite 203 Elko NV 89801-8334 Ph: (775) 777-2061 | Northeastern Nevada Physician Practices Llc 2001 Errecart Blvd Elko NV 89801-8333 Ph: (775) 738-8660 |
| NPI Number | 1457599458 |
|---|---|
| Provider Enumeration Date | 01/29/2009 |
| Last Update Date | 09/24/2024 |
| Medicare PECOS PAC ID | 3779649223 |
|---|---|
| Medicare Enrollment ID | O20090306000555 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457599458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Paul E Gaulin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336221530 PECOS PAC ID: 8123918083 Enrollment ID: I20040316001085 |
| Provider Name | Steven F Gunnell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255406757 PECOS PAC ID: 8628017894 Enrollment ID: I20050427000649 |
| Provider Name | Echezona Edozie Ezeanolue |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1598743254 PECOS PAC ID: 4183659907 Enrollment ID: I20050929001393 |
| Provider Name | John Adan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1295709665 PECOS PAC ID: 5799747002 Enrollment ID: I20090107000658 |
| Provider Name | Susan Hsu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740243773 PECOS PAC ID: 5890847743 Enrollment ID: I20090723000506 |
| Provider Name | Timothy D Phipps |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871690065 PECOS PAC ID: 7517940059 Enrollment ID: I20100920000866 |
| Provider Name | Starla C Ricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487989661 PECOS PAC ID: 8224218094 Enrollment ID: I20110210000999 |
| Provider Name | Thomas N Truong |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1033257514 PECOS PAC ID: 0143476143 Enrollment ID: I20120807000634 |
| Provider Name | Alfred J Brown |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790781995 PECOS PAC ID: 4284621715 Enrollment ID: I20120831000081 |
| Provider Name | Mohi Alkadri |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619167855 PECOS PAC ID: 1052457892 Enrollment ID: I20140714000546 |
| Provider Name | George V Hahm |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467655050 PECOS PAC ID: 4880832252 Enrollment ID: I20141014001980 |
| Provider Name | Jorge E De Amorim Filho |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1467725929 PECOS PAC ID: 7416189410 Enrollment ID: I20141105002785 |
| Provider Name | Jonathan D Slothower |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801195276 PECOS PAC ID: 8628290277 Enrollment ID: I20141114000605 |
| Provider Name | Rodney Badger |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1003874439 PECOS PAC ID: 2567418494 Enrollment ID: I20160204002482 |
| Provider Name | Bejal Patel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154613289 PECOS PAC ID: 9638399488 Enrollment ID: I20160901002473 |
| Provider Name | Scott D Curtis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235493628 PECOS PAC ID: 4385953264 Enrollment ID: I20161111000822 |
| Provider Name | Radhika Sharma |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407110547 PECOS PAC ID: 0345559720 Enrollment ID: I20161212002068 |
| Provider Name | Dirk Denier Vandergon |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1659334316 PECOS PAC ID: 4688683378 Enrollment ID: I20170810003684 |
| Provider Name | Veronica A Janhunen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528324720 PECOS PAC ID: 3971735572 Enrollment ID: I20170922003130 |
| Provider Name | Sarah Fryberger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366548935 PECOS PAC ID: 7517993140 Enrollment ID: I20180123003011 |
| Provider Name | Lawrence H Roberts |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1598863193 PECOS PAC ID: 9234116823 Enrollment ID: I20180712002610 |
| Provider Name | Edward Snyder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083792873 PECOS PAC ID: 6204994296 Enrollment ID: I20180727000793 |
| Provider Name | Alban De Schutter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134434988 PECOS PAC ID: 2163713769 Enrollment ID: I20190311000657 |
| Provider Name | Sohail Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1235330382 PECOS PAC ID: 1254496938 Enrollment ID: I20190625001336 |
| Provider Name | Janine Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144787565 PECOS PAC ID: 8729313903 Enrollment ID: I20190710001558 |
| Provider Name | Konstantin Denev |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437131299 PECOS PAC ID: 9234166901 Enrollment ID: I20190829001286 |
| Provider Name | Ellen H Chen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083654313 PECOS PAC ID: 0042104523 Enrollment ID: I20190903001076 |
| Provider Name | Fabian Chang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659722494 PECOS PAC ID: 1759628472 Enrollment ID: I20191122000817 |
| Provider Name | Kermit Brion Brunelle |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1477529006 PECOS PAC ID: 3476872763 Enrollment ID: I20200207001858 |
| Provider Name | Kevin Hibbett |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912936055 PECOS PAC ID: 1850338534 Enrollment ID: I20200324000837 |
| Provider Name | Jonathan P Daniels |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043214935 PECOS PAC ID: 8325101223 Enrollment ID: I20200721000481 |
| Provider Name | Gwen Cooper Simon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073699773 PECOS PAC ID: 5395893853 Enrollment ID: I20200724000561 |
| Provider Name | Chad Edwards |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891186680 PECOS PAC ID: 0840585030 Enrollment ID: I20200724002015 |
| Provider Name | Michael O Nwaneri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073788444 PECOS PAC ID: 2365604709 Enrollment ID: I20210219002283 |
| Provider Name | Callie R Blair |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932444239 PECOS PAC ID: 3274758099 Enrollment ID: I20210630003659 |
| Provider Name | Alex Layne Dutson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1528553344 PECOS PAC ID: 8628471836 Enrollment ID: I20210726003305 |
| Provider Name | Ish Singla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215111422 PECOS PAC ID: 1254572134 Enrollment ID: I20220602002735 |
| Provider Name | Zachary D Featherstone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306309844 PECOS PAC ID: 8921337932 Enrollment ID: I20221020002373 |
| Provider Name | Divyesh R Bhakta |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083640528 PECOS PAC ID: 3971516329 Enrollment ID: I20230515003346 |
| Provider Name | Ryan Mallory |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548674096 PECOS PAC ID: 4183849912 Enrollment ID: I20230601002145 |
| Provider Name | Aman Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013399286 PECOS PAC ID: 9234437237 Enrollment ID: I20230614000237 |
Pioneer Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 160 12th St, Elko, NV 89801 Phone: 775-738-2034 Fax: 775-738-3241 | |
Elko Family Medical And Dental Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 762 14th St, Elko, NV 89801 Phone: 775-738-1553 Fax: 775-738-5856 | |
Clinical Diagnostic Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 845 Railroad St, Elko, NV 89801 Phone: 775-753-3770 Fax: 775-753-3772 | |
Karen Wright M.d. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2850 Ruby Vista Dr, Elko, NV 89801 Phone: 775-385-4377 Fax: 866-595-5411 | |
Affinity Health Elko, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2102 Idaho St, Elko, NV 89801 Phone: 775-389-5778 Fax: 775-460-2368 | |
Slothower Pediatrics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 Pinion Rd, Elko, NV 89801 Phone: 775-778-3437 Fax: 775-778-3652 | |
Pinion Road Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1780 Browning Way, Elko, NV 89801 Phone: 775-778-0386 Fax: 775-777-1152 |