Provider Demographics
NPI:1942290382
Name:REMBETSKI, THOMAS E (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:E
Last Name:REMBETSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5500 RENO CORPORATE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2628
Mailing Address - Country:US
Mailing Address - Phone:775-771-2804
Mailing Address - Fax:877-701-6082
Practice Address - Street 1:5500 RENO CORPORATE DR STE 100
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2628
Practice Address - Country:US
Practice Address - Phone:775-771-2804
Practice Address - Fax:877-701-6082
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2024-12-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV5964208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV70391OtherMEDICARE NV
NE2016305Medicaid
NE2016305Medicaid