MEDICARE: JOHN HESS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	8692	NV

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	80124584	OTHER	NV	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	11426275	OTHER		CAQH

General Provider Information

NPI Number	:	1730152364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN HESS MD

Provider Business Mailing Address
First Line	:	411 W 6TH ST
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89503-4415
Country	:	US
Telephone Number	:	775-770-7600
Fax Number	:	775-770-7880

Provider Business Practice Location Address
First Line	:	6630 S MCCARRAN BLVD STE 9
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89509-6145
Country	:	US
Telephone Number	:	775-204-4000
Fax Number	:	775-204-4001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	03/17/2021

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Directions to “ JOHN HESS MD” Practice Location

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