Michael Kalisvaart in Reno - Sports Medicine
Michael Kalisvaart - NPI 1194989012
Michael Kalisvaart is a Sports Medicine in Reno, Nevada. Michael Kalisvaart practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Michael Kalisvaart is 1194989012. The last update date is 2021-12-22.
Michael Kalisvaart's current location address is 555 N Arlington Ave, Reno, Nevada. You can contact this provider via phone number 7757863040 and fax number 7757861887. The mailing address for Michael Kalisvaart is 555 N Arlington Ave, Reno, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Kalisvaart |
|---|---|
| Address | 555 N Arlington Ave, Reno, Nevada |
| Phone Number | 7757863040 |
| Fax Number | 7757861887 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1194989012 |
|---|---|
| Provider Enumeration Date | 2008-07-10 |
| Last Updated Date | 2021-12-22 |
Provider Mailing Address Detail
| Address | 555 N Arlington Ave |
|---|---|
| City | Reno |
| State | Nevada (NV) |
| Post Code | 895034723 |
| Phone Number | 7757863040 |
| Fax Number | 7757861887 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 15233 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1194989012 | NV | -- | |
| 12703525 | CAQH |
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What is the unique 10-digit identifier code issued to Michael Kalisvaart by the Centers for Medicare & Medicaid Services?
The Michael Kalisvaart has been assigned the NPI (National Provider Identifier) 1194989012 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Michael Kalisvaart is geographically located?
The Michael Kalisvaart is physically situated at the following location: 555 N Arlington Ave, Reno, NV, 895034723.
What is the Michael Kalisvaart's area of specialization and corresponding taxonomy classification?
The Michael Kalisvaart's specialty field is Sports Medicine, and it falls under the taxonomy code 207Xx0005X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1194989012 to Michael Kalisvaart?
The Michael Kalisvaart received its 1194989012 assignment from the Centers for Medicare & Medicaid Services on 2008-07-10.
When was the information regarding Michael Kalisvaart, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Michael Kalisvaart, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-12-22.