Provider Demographics
NPI:1871828665
Name:TIMOTHY A. JANIGA, MD, PLLC
Entity Type:Organization
Organization Name:TIMOTHY A. JANIGA, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:JANIGA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-398-4600
Mailing Address - Street 1:500 DAMONTE RANCH PKWY #703
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521
Mailing Address - Country:US
Mailing Address - Phone:775-398-4600
Mailing Address - Fax:775-398-4606
Practice Address - Street 1:500 DAMONTE RANCH PKWY #703
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521
Practice Address - Country:US
Practice Address - Phone:775-398-4600
Practice Address - Fax:775-398-4606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-12
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12651208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty