| Pinnacle Medical Group Hicks Pc | |
|
6275 Sharlands Ave Ste B15 Reno NV 89523-3734 | |
| (775) 204-4000 | |
| Not Available |
| Full Name | Pinnacle Medical Group Hicks Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 6275 Sharlands Ave Ste B15, Reno, Nevada |
| Authorized Official Name and Position | Ronald Hicks (PRESIDENT) |
| Authorized Official Contact | 7752044000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinnacle Medical Group Hicks Pc 5975 S Los Altos Pkwy Sparks NV 89436-7699 Ph: () - | Pinnacle Medical Group Hicks Pc 6275 Sharlands Ave Ste B15 Reno NV 89523-3734 Ph: (775) 204-4000 |
| NPI Number | 1548869381 |
|---|---|
| Provider Enumeration Date | 10/22/2020 |
| Last Update Date | 03/30/2021 |
| Medicare PECOS PAC ID | 4385059625 |
|---|---|
| Medicare Enrollment ID | O20210218000399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548869381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Ronald Hicks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326044520 PECOS PAC ID: 8527049220 Enrollment ID: I20040527001292 |
| Provider Name | Randi F Grinsell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710985262 PECOS PAC ID: 1254305998 Enrollment ID: I20040819001357 |
| Provider Name | Catherine D Estipona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760556534 PECOS PAC ID: 0749222677 Enrollment ID: I20050601000435 |
| Provider Name | Jeffrey Basa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992851323 PECOS PAC ID: 0840210654 Enrollment ID: I20051122000829 |
| Provider Name | Catherine J Mcnamara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649364613 PECOS PAC ID: 2163527714 Enrollment ID: I20070410000658 |
| Provider Name | Laura Sheeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669483327 PECOS PAC ID: 1951464502 Enrollment ID: I20090108000534 |
| Provider Name | Devangi D Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710155163 PECOS PAC ID: 6709949118 Enrollment ID: I20090112000477 |
| Provider Name | Kathleen E Lydon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710087341 PECOS PAC ID: 2567562135 Enrollment ID: I20091121000041 |
| Provider Name | Veronica M Sutherland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154393528 PECOS PAC ID: 2769496082 Enrollment ID: I20100326000287 |
| Provider Name | John R Holman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215938394 PECOS PAC ID: 1254463227 Enrollment ID: I20100712000184 |
| Provider Name | Katie A Dolan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396718342 PECOS PAC ID: 5698809846 Enrollment ID: I20100810000947 |
| Provider Name | John H Hess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730152364 PECOS PAC ID: 0345374427 Enrollment ID: I20100811000136 |
| Provider Name | Terri H Schmidt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992931612 PECOS PAC ID: 4082895651 Enrollment ID: I20110302000527 |
| Provider Name | Staci A Dooley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073836276 PECOS PAC ID: 4183762263 Enrollment ID: I20111129000270 |
| Provider Name | Ansley K Winter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245653773 PECOS PAC ID: 1557594967 Enrollment ID: I20140508001345 |
| Provider Name | Kristin M Astrom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982693859 PECOS PAC ID: 2961641923 Enrollment ID: I20140902001942 |
| Provider Name | Julia C Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063827327 PECOS PAC ID: 7315165289 Enrollment ID: I20140908000035 |
| Provider Name | Jessica M Curti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851524235 PECOS PAC ID: 1557585379 Enrollment ID: I20140917000126 |
| Provider Name | Rommel Q Co |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548649924 PECOS PAC ID: 8729397898 Enrollment ID: I20151013000820 |
| Provider Name | Melissa Delamora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003257775 PECOS PAC ID: 9436459310 Enrollment ID: I20151125000693 |
| Provider Name | Renee L Bayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255721536 PECOS PAC ID: 7416274485 Enrollment ID: I20180314001417 |
| Provider Name | Catherine Marie Pinkston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962897611 PECOS PAC ID: 3678823317 Enrollment ID: I20180830001169 |
| Provider Name | Ryan J Aiazzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699317966 PECOS PAC ID: 6305270372 Enrollment ID: I20191227001664 |
| Provider Name | Lara Kristina Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427660992 PECOS PAC ID: 1951721661 Enrollment ID: I20201019002945 |
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