Provider Demographics
NPI:1619915477
Name:FLEMING, HILARI L (MD, PHD)
Entity Type:Individual
Prefix:
First Name:HILARI
Middle Name:L
Last Name:FLEMING
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5590 KIETZKE LN
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-3019
Mailing Address - Country:US
Mailing Address - Phone:775-323-2080
Mailing Address - Fax:775-323-8216
Practice Address - Street 1:5590 KIETZKE LN
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-3019
Practice Address - Country:US
Practice Address - Phone:775-323-2080
Practice Address - Fax:775-323-8216
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6196207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVCC1718OtherBC/BS
NV002016461Medicaid
NV880167036A015OtherTRICARE
CAXPY119880Medicaid
NV140001570Medicare ID - Type UnspecifiedRR MEDICARE
NVCC1718OtherBC/BS
NV002016461Medicaid