Provider Demographics
NPI:1972012292
Name:JAMES PAPPAS MD RURAL NEVADA, LTD.
Entity Type:Organization
Organization Name:JAMES PAPPAS MD RURAL NEVADA, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / M.D.
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:NICHOLAS
Authorized Official - Last Name:PAPPAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-322-1200
Mailing Address - Street 1:5255 LONGLEY LANE
Mailing Address - Street 2:SUITE 140
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2340
Mailing Address - Country:US
Mailing Address - Phone:775-322-1200
Mailing Address - Fax:775-322-1241
Practice Address - Street 1:2213 N 5TH ST STE B
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-2471
Practice Address - Country:US
Practice Address - Phone:775-322-1200
Practice Address - Fax:775-322-1241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-29
Last Update Date:2017-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty