Healthcare Provider Details

I. General information

NPI: 1760409783
Provider Name (Legal Business Name): GOMEZ KOZAR MCELREATH AND SMITH PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 PRINGLE WAY SUITE 1002
RENO NV
89502-1464
US

IV. Provider business mailing address

75 PRINGLE WAY SUITE 1002
RENO NV
89502-1464
US

V. Phone/Fax

Practice location:
  • Phone: 775-323-7500
  • Fax: 775-789-9208
Mailing address:
  • Phone: 775-323-7500
  • Fax: 775-789-9208

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number
License Number StateNV
# 4
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number StateNV
# 5
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number
License Number StateNV
# 6
Primary TaxonomyN
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number
License Number StateNV
# 7
Primary TaxonomyN
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number
License Number StateNV
# 8
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number1002282691
License Number StateNV

VIII. Authorized Official

Name: DR. FRIEDA HULKA
Title or Position: PRESIDENT
Credential: MD
Phone: 775-323-7500