Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Northern Nevada Medical Group, LLC

Organization Family Medicine Physician · NPI 1972751618

Northern Nevada Medical Group, LLC is a Family Medicine Physician in Sparks, Nevada. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
11
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2345 E Prater Way Ste 207
Sparks, NV 89434-9600
Phone: (775) 352-5300
Fax: (775) 352-5334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X
Internal Medicine Physician Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X
Interventional Cardiology Physician Taxonomy 207RI0011X
Neurology Physician Taxonomy 2084N0400X
Surgery Physician Taxonomy 208600000X
Hospitalist Physician Taxonomy 208M00000X
Podiatrist Taxonomy 213E00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1972751618
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Evans — Vp · (610) 768-3300
NPI enumeratedSeptember 6, 2008
Last updated in NPPESAugust 17, 2020
Certification dateAugust 17, 2020
Mailing address2345 E Prater Way Ste 207, Sparks, NV 89434-9600

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