Provider Demographics
NPI:1336259183
Name:NEVADA UROLOGY ASSOCIATES
Entity Type:Organization
Organization Name:NEVADA UROLOGY ASSOCIATES
Other - Org Name:UROLOGY CHARTERED
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:GAYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:HALMINIAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-823-8166
Mailing Address - Street 1:699 SIERRA ROSE DR STE A
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2069
Mailing Address - Country:US
Mailing Address - Phone:775-689-3737
Mailing Address - Fax:775-823-8160
Practice Address - Street 1:699 SIERRA ROSE DR STE A
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2069
Practice Address - Country:US
Practice Address - Phone:775-689-3737
Practice Address - Fax:775-823-8160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVWCHJRMedicare ID - Type Unspecified