Jonathan Patrick Staidle, MD
Jonathan Patrick Staidle, MD is a Dermatology in Sparks, Nevada. Graduated from Northeastern Ohio University College of Medicine in 2011, 15 years ago. Practices with Mountain West Derm - Blackhart PLLC, a 103-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Ohio and Pennsylvania.
- Years since qualifying
- 15
- Trained at
- Northeastern Ohio University College of Medicine
- Licensed in
- OH, PA
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
4814 Sparks BlvdSparks, NV 89436-8219
Phone: (775) 327-0699
Fax: (775) 451-7501
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 607 S Maine St, Fallon, NV 89406-3801 — (775) 324-0699
- 640 W Moana Ln, Reno, NV 89509-4903 — (775) 324-0699
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 35-126612 (OH) |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence MD457066 (PA) |
Record details
| NPI number | 1982994455 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 18, 2011 |
| Last updated in NPPES | January 19, 2021 |
| Certification date | January 19, 2021 |
| Mailing address | 640 W Moana Ln, Reno, NV 89509-4903 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE |
| Graduated | 2011 (15 years in practice) |
| Group practice | Mountain West Derm - Blackhart Pllc — 103 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |