Individual
ERIK M DEJONGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
655 SIERRA ROSE DR, RENO, NV 89511-2060
(775) 829-7600
Mailing address
655 SIERRA ROSE DR, RENO, NV 89511-2060
(775) 829-7600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
16534
NV
207RG0100X
Gastroenterology Physician
Primary
16534
NV
207RG0100X
Gastroenterology Physician
342151
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000973245
ANTHEM PROVIDER NUMBER
IN
05
—
01358084
—
CO
05
—
805228
—
AZ
05
—
PENDING
—
IN
Enumeration date
12/20/2005
Last updated
02/11/2026
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