{"npi":"1124157920","type":"NPI-2","status":"active","name":{"display":"Renown Medical School Associates North, Inc.","other":[],"organization_name":"RENOWN MEDICAL SCHOOL ASSOCIATES NORTH, INC.","authorised_official":"Brett Moore"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"NV","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"6130 PLUMAS ST","city":"RENO","state":"NV","postal_code":"895196060","country_code":"US","phone":"7759821000","fax":"7759828041"},{"purpose":"MAILING","street_1":"1155 MILL ST # M14","city":"RENO","state":"NV","postal_code":"895021576","country_code":"US","phone":"7759825262"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"100500708","state":"NV","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-03-05","last_updated":"2024-07-03","_meta":{"source":"NPPES","snapshot_date":"2024-07-03","doc_url":"https://findmynpi.com/api"}}