| Amity Neurology | |
|
500 Damonte Ranch Pkwy Ste 1030 Reno NV 89521-5968 | |
| (775) 432-6189 | |
| (775) 284-5625 |
| Full Name | Amity Neurology |
|---|---|
| Speciality | Clinic/Center |
| Location | 500 Damonte Ranch Pkwy Ste 1030, Reno, Nevada |
| Authorized Official Name and Position | Hsiaolin Fang (PRACTICE MANAGER) |
| Authorized Official Contact | 2172995892 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amity Neurology 500 Damonte Ranch Pkwy Ste 1030 Reno NV 89521-5968 Ph: (775) 432-6189 | Amity Neurology 500 Damonte Ranch Pkwy Ste 1030 Reno NV 89521-5968 Ph: (775) 432-6189 |
| NPI Number | 1912563826 |
|---|---|
| Provider Enumeration Date | 05/15/2019 |
| Last Update Date | 10/14/2022 |
| Certification Date | 10/14/2022 |
| Medicare PECOS PAC ID | 8628304813 |
|---|---|
| Medicare Enrollment ID | O20190725001985 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912563826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | () | Primary |
| Provider Name | Yen-yi Peng |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891951638 PECOS PAC ID: 1951477421 Enrollment ID: I20150518000703 |
| Provider Name | Bobbi Lee Roth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558890848 PECOS PAC ID: 5395015127 Enrollment ID: I20180626001517 |
| Provider Name | Daria Ann Manha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649980079 PECOS PAC ID: 5799155081 Enrollment ID: I20230103000301 |
| Provider Name | Laurie Macafee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912351107 PECOS PAC ID: 4082129606 Enrollment ID: I20250714001774 |
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