Provider Demographics
NPI:1609884972
Name:SIERRAREGIONALSPINEINSTISTUTEJAMESRRAPPAPORTMDPHELPSCKIPMDPC
Entity Type:Organization
Organization Name:SIERRAREGIONALSPINEINSTISTUTEJAMESRRAPPAPORTMDPHELPSCKIPMDPC
Other - Org Name:SIERRA REGIONAL SPINE INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO OWNER OF COMPANY
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:RAPPAPORT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-828-2880
Mailing Address - Street 1:6630 S MCCARRAN BLVD
Mailing Address - Street 2:STE A--4
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-6135
Mailing Address - Country:US
Mailing Address - Phone:775-828-2880
Mailing Address - Fax:775-828-2889
Practice Address - Street 1:6630 S MCCARRAN BLVD
Practice Address - Street 2:STE A--4
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-6135
Practice Address - Country:US
Practice Address - Phone:775-828-2880
Practice Address - Fax:775-828-2889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty