Provider Demographics
NPI:1982603825
Name:STEVEN G ATCHESON, MD, A PROF CORP
Entity Type:Organization
Organization Name:STEVEN G ATCHESON, MD, A PROF CORP
Other - Org Name:ARTHRITIS SPECIALISTS OF NORTHERN NEVADA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ATCHESON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-329-6772
Mailing Address - Street 1:93 BELL ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-5616
Mailing Address - Country:US
Mailing Address - Phone:775-329-6772
Mailing Address - Fax:775-329-7019
Practice Address - Street 1:93 BELL ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-5616
Practice Address - Country:US
Practice Address - Phone:775-329-6772
Practice Address - Fax:775-329-7019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2818207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVWJBDW01Medicare ID - Type Unspecified
NVC95741Medicare UPIN
NVWJBDWMedicare ID - Type Unspecified