Skip to main content

Best General Surgeons in Reno

Written by Andrew Le, MD

Updated November 23, 2024

Introduction to General Surgery in Reno

Overview of General Surgery

General surgery is a medical specialty that focuses on abdominal contents including the esophagus, stomach, small intestine, large intestine, liver, pancreas, gallbladder, appendix and bile ducts, as well as the thyroid gland. In Reno, general surgeons perform a wide range of procedures, from appendectomies and hernia repairs to more complex operations involving the digestive tract and endocrine system.

Based on the data provided, general surgeons in Reno frequently perform procedures such as bariatric surgery, minimally invasive surgery, and critical care surgery. Some surgeons, like Dr. Alexander Ayzengart and Dr. Gregg Nishi, specialize in bariatric surgery, which involves weight loss procedures. Others, such as Dr. Katherine Jones, also practice cardiothoracic surgery, demonstrating the broad scope of general surgery in the area.

Importance of choosing the right general surgeon

Selecting the appropriate general surgeon is a significant decision that can greatly influence a patient's outcome and recovery process. In Reno, patients have access to highly qualified surgeons with various subspecialties and expertise. For instance, Dr. Michelle Chu specializes in breast surgery, while Dr. Amanda Vanderclay focuses on robotic and minimally invasive techniques. These specializations can be particularly beneficial for patients requiring specific surgical interventions.

A general surgeon plays a key role in a patient's healthcare journey, often coordinating with other specialists to provide comprehensive care. In Reno, many general surgeons are affiliated with major medical centers such as Renown Regional Medical Center and Saint Mary's Regional Medical Center, ensuring patients have access to a full spectrum of medical services. The right surgeon will not only perform the necessary procedure but also guide patients through pre-operative preparation and post-operative recovery, contributing significantly to overall health outcomes.


⚡️ Powered by AI

What's the fastest way to connect to general surgeons?

Our clinically-backed AI will ask you questions and provide an answer specific to your unique health situation.


List of General Surgeons in Reno

AA

Dr. Alexander Ayzengart

5.0

Reno, NV

Sex

Male

Languages

English, Russian

Phone

(775) 829-7999

American Board of Surgery

Ucsf Medical Center (Internship Hospital, 2005)

University of Michigan Medical School (Medical School, 2004)

English

Russian

UF Health Shands Hospital

Northern Nevada Medical Center

Renown Regional Medical Center

Bariatric Surgery

General Surgery

Minimally Invasive Surgery

Dr. Gregg Nishi

Dr. Gregg Nishi

5.0

Reno, NV

Sex

Male

Languages

English, Japanese

Phone

(310) 967-1884

American Board of Surgery

Surgical Critical Care - Cedars Sinai Medical Center (Fellowship Hospital)

General Surgery Residency - Cedars Sinai Medical Center (Residency Hospital)

General Surgery - North Shore University Hospital (Internship Hospital)

University of California, Irvine (Undergraduate School)

George Washington University School of Medicine & Health Sciences (Medical School, 1999)

English

Japanese

Carson Tahoe Regional Medical Center

Kaiser Permanente Oakland Medical Center

Hollywood Presbyterian Medical Center

General Surgery

Critical Care Surgery

Bariatric Surgery

KJ

Dr. Katherine Jones

5.0

Reno, NV

Sex

Female

Languages

English

Phone

(775) 982-6270

American Board of Surgery

American Board of Thoracic Surgery

BELLEVUE HOSPITAL CENTER / MEDICAL COLLEGE (Medical School, 2016)

English

Renown Regional Medical Center

Saint Mary''s Regional Medical Center

St. Joseph''s Medical Center Stockton

General Surgery

Cardiothoracic Surgery

JU

Dr. Joseph Uccelli

5.0

Reno, NV

Sex

Male

Languages

English

Phone

(775) 323-7500

American Board of Surgery

UNIVERSITY OF NEVADA AT LAS VEGAS (Medical School, 2008)

English

Renown Regional Medical Center

Critical Care Surgery

General Surgery

SC

Dr. Scott Cinelli

5.0

Reno, NV

Sex

Male

Languages

English

Phone

(775) 324-0288

American Board of Surgery

NEW YORK INSTITUTE OF TECHNOLOGY / OLD WESTBURY (Medical School, 2002)

English

Renown Regional Medical Center

Critical Care Surgery

General Surgery

JH

Dr. James Harris

5.0

Reno, NV

Sex

Male

Languages

English

Phone

(775) 323-7500

American Board of Surgery

Wake Forest University (Medical School, 1983)

English

Renown Regional Medical Center

General Surgery

CG

Dr. Christos Galanopoulos

5.0

Reno, NV

Sex

Male

Languages

English

Phone

(775) 982-6270

American Board of Surgery

Rush University (Medical School, 1994)

English

Renown Regional Medical Center

Renown South Meadows Medical Center

General Surgery

MM

Dr. Mitzi Miller

5.0

Reno, NV

Sex

Female

Languages

English

Phone

(775) 328-1242

Creighton University (Medical School, 1991)

English

General Surgery

AC

Dr. Alyson Crawford

5.0

Reno, NV

Sex

Female

Languages

English

Phone

(775) 323-7500

American Board of Colon & Rectal Surgery

American Board of Surgery

English

Northern Nevada Medical Center

Renown Regional Medical Center

Renown South Meadows Medical Center

General Surgery

AY

Dr. Ashanga Yatawatta

5.0

Reno, NV

Sex

Male

Languages

English

Phone

(775) 475-9881

University of Miami Miller School of Medicine (Medical School, 2014)

English

McCurtain Memorial Hospital

General Surgery

RZ

Dr. Randall Zuckerman

5.0

Reno, NV

Sex

Male

Languages

English

Phone

(775) 982-6270

American Board of Surgery

Dartmouth College (Medical School, 1996)

English

Pullman Regional Hospital

Renown Regional Medical Center

General Surgery

JS

Dr. Jessica Scott

5.0

Reno, NV

Sex

Female

Languages

English

Phone

(775) 352-5301

Oregon Health & Science University (Medical School, 2015)

English

Renown Regional Medical Center

General Surgery

WT

Dr. William Thomas

5.0

Reno, NV

Sex

Male

Languages

English

Phone

(775) 982-5123

Tulane University of Louisiana (Medical School, 1969)

English

General Surgery

SB

Dr. Scott Boyden

4.9

Reno, NV

Sex

Male

Languages

English

Phone

(775) 827-5800

University of Illinois College of Medicine (Medical School, 1998)

English

Renown Regional Medical Center

Oral & Maxillofacial Surgery

General Surgery

Dr. John Ganser

Dr. John Ganser

4.8

Reno, NV

Sex

Male

Languages

English, Spanish

Phone

(775) 323-7500

American Board of Surgery

Birmingham Heartlands Hospital (Fellowship Hospital, 1996)

Royal College Surgeons of England (Fellowship Hospital, 1996)

Oreg Health Science University (Internship Hospital, 1990)

Oregon Health & Science University Hospital (Internship Hospital, 1990)

Baylor College of Medicine (Medical School, 1989)

Baylor University (Medical School, 1989)

University of Nevada, Reno (Undergraduate School, 1984)

English

Spanish

Renown Regional Medical Center

Saint Mary''s Regional Medical Center

Bariatric Surgery

Bariatric Medicine

Thoracic Surgery

General Surgery

Laparoscopic Surgery

Cardiothoracic Surgery

Dr. Michelle Chu

Dr. Michelle Chu

4.8

Reno, NV

Sex

Female

Languages

English, Spanish

Phone

(775) 789-7000

American Board of Surgery

Maine Medical Center (Residency Hospital, 2004)

English

Spanish

Renown Regional Medical Center

Renown South Meadows Medical Center

Saint Mary''s Regional Medical Center

General Surgery

Breast Surgery

BJ

Dr. Brian Juell

4.7

Reno, NV

Sex

Male

Languages

English

Phone

(775) 324-0288

American Board of Surgery

University of Utah (Medical School, 1979)

English

Northern Nevada Medical Center

Renown Regional Medical Center

Renown South Meadows Medical Center

Critical Care Surgery

General Surgery

Dr. Amanda Vanderclay

Dr. Amanda Vanderclay

4.7

Reno, NV

Sex

Female

Languages

English

Phone

(775) 324-0288

American Board of Surgery

University of New Mexico Hospital (Residency Hospital, 2012)

English

Renown Regional Medical Center

Renown South Meadows Medical Center

Saint Mary''s Regional Medical Center

General Surgery

Robotic Surgery

Minimally Invasive Surgery

Dr. Charles Virden

Dr. Charles Virden

4.5

Reno, NV

Sex

Male

Languages

English, Spanish

Phone

(775) 348-9798

American Board of Plastic Surgery

English

Spanish

Renown Regional Medical Center

Cosmetic, Plastic & Reconstructive Surgery

General Surgery

FH

Dr. Frieda Hulka

4.5

Reno, NV

Sex

Female

Languages

English, Spanish

Phone

(775) 323-7500

Oreg Health Scis Center (Residency Hospital, 1998)

Oreg Health Scis Center (Internship Hospital, 1993)

University of Nevada, Reno School of Medicine (Medical School, 1992)

English

Spanish

Renown Regional Medical Center

Renown South Meadows Medical Center

Saint Mary''s Regional Medical Center

Critical Care Surgery

General Surgery

Dr. Robert Nachtsheim

Dr. Robert Nachtsheim

4.4

Reno, NV

Sex

Male

Languages

English, Spanish

Phone

(775) 789-7040

American Board of Surgery

University of New Mexico School of Medicine (Residency Hospital, 2005)

University of Nevada, Reno School of Medicine (Medical School, 2000)

English

Spanish

Providence St. Mary Medical Center

General Surgery

SR

Dr. Susan Ramos

4.4

Reno, NV

Sex

Female

Languages

English, French

Phone

(775) 786-7440

American Board of Surgery

STATE UNIVERSITY OF NEW YORK / COLLEGE OF GENESEO (Medical School, 1969)

English

French

Renown Regional Medical Center

Saint Mary''s Regional Medical Center

General Surgery

MT

Dr. Michael Thomas

4.3

Reno, NV

Sex

Male

Languages

English

Phone

(775) 323-7500

American Board of Colon & Rectal Surgery

American Board of Surgery

University of Texas Medical Branch (Medical School, 2009)

English

Northern Nevada Medical Center

Renown Regional Medical Center

Saint Mary''s Regional Medical Center

General Surgery

Colorectal Surgery

JN

Dr. James Nunley

4.2

Reno, NV

Sex

Male

Languages

English

Phone

(775) 324-0288

American Board of Surgery

Columbia University Vagelos College of Physicians and Surgeons (Medical School, 1999)

English

Northern Nevada Medical Center

Renown Regional Medical Center

Renown South Meadows Medical Center

General Surgery

Dr. Ann Pratt

Dr. Ann Pratt

4.0

Reno, NV

Sex

Female

Languages

English

Phone

(775) 324-0288

American Board of Surgery

University Nevada, Affiliated Residency Program (Residency Hospital, 2012)

English

Northern Nevada Medical Center

Renown Regional Medical Center

Renown South Meadows Medical Center

General Surgery

AC

Dr. Alex Cardenas

4.0

Reno, NV

Sex

Male

Languages

English

Phone

(804) 765-5000

American Board of Surgery

UNIVERSITY OF NEVADA AT RENO (Medical School, 2009)

English

Bon Secours St. Francis Medical Center

St. Mary''s Hospital

Southside Regional Medical Center

General Surgery

GS

Dr. George Sieffert

4.0

Reno, NV

Sex

Male

Languages

English

Phone

(775) 982-4100

UNIVERSITY OF NEBRASKA AT LINCOLN (Medical School, 1976)

English

Renown Regional Medical Center

Saint Mary''s Regional Medical Center

General Surgery

Dr. Matthew Crapko

Dr. Matthew Crapko

3.8

Reno, NV

Sex

Male

Languages

English

Phone

(775) 323-7500

American Board of Colon & Rectal Surgery

American Board of Surgery

Baylor University Medical Center (Fellowship Hospital)

Boston Medical Center (Internship Hospital)

Medical College of Wisconsin (Medical School)

Kalamazoo College (Undergraduate School)

English

Northern Nevada Medical Center

Renown Regional Medical Center

Renown South Meadows Medical Center

Colorectal Surgery

General Surgery

MD

Dr. Matthew Deeter

3.8

Reno, NV

Sex

Male

Languages

English, Creole

Phone

(775) 324-0288

American Board of Surgery

Brooke Army Mc (Residency Hospital, 2004)

NEW YORK Medical College (Medical School, 1998)

English

Creole

Renown Regional Medical Center

General Surgery

Trauma Medicine

Dr. Sharon Wright

Dr. Sharon Wright

3.8

Reno, NV

Sex

Female

Languages

English

Phone

(775) 323-7500

American Board of Surgery

Oregon Health & Science University (Internship Hospital)

NEW YORK Medical College (Medical School, 2007)

English

Carson Tahoe Regional Medical Center

Renown Regional Medical Center

Renown South Meadows Medical Center

General Surgery

Breast Surgery

Endocrine Surgery

MG

Dr. Myron Gomez

3.4

Reno, NV

Sex

Male

Languages

English, Spanish

Phone

(775) 323-7500

American Board of Surgery

University of Tennessee (Fellowship Hospital, 1988)

University Tenn (Residency Hospital, 1987)

Stanford University (Fellowship Hospital, 1986)

Stanford University School of Medicine (Residency Hospital, 1985)

University of California San Francisco (Internship Hospital, 1981)

Tufts University School of Medicine (Medical School, 1980)

English

Spanish

Renown Regional Medical Center

Renown South Meadows Medical Center

Critical Care Surgery

General Surgery

JM

Dr. Joseph McMullen

3.4

Reno, NV

Sex

Male

Languages

English

Phone

(775) 825-0285

Vanderbilt University (Medical School, 1977)

English

Oral & Maxillofacial Surgery

General Surgery

JW

Dr. John Watson

3.3

Reno, NV

Sex

Male

Languages

English

American Board of Surgery

Hartford Hosp-U Conn (Fellowship Hospital, 1997)

Uc Davis-East Bay (Internship Hospital, 1992)

University of Nevada, Reno School of Medicine (Medical School, 1991)

English

Northern Nevada Medical Center

Renown Regional Medical Center

Internal Medicine

Critical Care Surgery

General Surgery

Dr. Paul Stumpf

Dr. Paul Stumpf

3.3

Reno, NV

Sex

Male

Languages

English

Phone

(775) 789-7040

American Board of Surgery

University Iowa Hospital & Clins (Residency Hospital, 1994)

Rutgers Robert Wood Johnson Medical School (Internship Hospital, 1989)

University of Nevada At Reno (Undergraduate School, 1984)

English

General Surgery

LW

Dr. Lars Webb

3.0

Reno, NV

Sex

Male

Languages

English

Phone

(775) 323-7500

English

Renown Regional Medical Center

Renown South Meadows Medical Center

Saint Mary''s Regional Medical Center

General Surgery

AD

Dr. Alvaro Devia

3.0

Reno, NV

Sex

Male

Languages

English, Spanish

Phone

(775) 324-0288

University of Texas at Dallas (Medical School, 1992)

English

Spanish

Renown Regional Medical Center

Renown South Meadows Medical Center

Saint Mary''s Regional Medical Center

General Surgery

MB

Dr. Martin Bain

1.0

Reno, NV

Sex

Male

Languages

English

Phone

(775) 323-7500

American Board of Surgery

Or Health Science University Hospital (Residency Hospital)

University Ca Davis Health System (Residency Hospital)

University of Washington School of Medicine (Medical School, 1994)

English

Renown Regional Medical Center

Critical Care Surgery

General Surgery

SB

Dr. Susan Buchwald

1.0

Reno, NV

Sex

Female

Languages

English, Spanish

Phone

(775) 789-7050

UNIVERSITY OF VERMONT AND STATE AGRICULTURAL COLLEGE (Medical School, 1973)

English

Spanish

General Surgery

JH

Dr. John Haller

1.0

Reno, NV

Sex

Male

Languages

English, Spanish

Phone

(775) 786-7200

American Board of Surgery

UNIVERSITY OF NEW MEXICO / MAIN CAMPUS (Medical School, 1983)

English

Spanish

General Surgery

LM

Dr. Laurie McGinley

N/A

Reno, NV

Sex

Female

Languages

English

Phone

(775) 323-7500

English

Nursing (Clinical Nurse Specialist)

Bariatric Medicine

General Surgery

Medical Surgical Nursing

Adult Health Nursing (Clinical Nurse Specialist)

RW

Dr. Rebecca Weddle

N/A

Reno, NV

Sex

Female

Languages

English

Phone

(775) 323-7500

American Board of Surgery

University of Louisville (Medical School, 2009)

English

Renown Regional Medical Center

Critical Care Surgery

General Surgery

KA

Dr. Kristen Arnold

N/A

Reno, NV

Sex

Female

Languages

English

Phone

(321) 841-1838

American Board of Surgery

Medical University of South Carolina (Medical School, 2012)

English

Renown Regional Medical Center

Orlando Health Orlando Regional Medical Center

Renown South Meadows Medical Center

Surgical Oncology

Critical Care Surgery

General Surgery

RB

Dr. Richard Butler

N/A

Reno, NV

Sex

Male

Languages

English

Phone

(775) 323-7500

American Board of Surgery

English

Critical Care Surgery

General Surgery

SC

Dr. Steven Christenson

N/A

Reno, NV

Sex

Male

Languages

English

Phone

(775) 982-4100

American Board of Surgery

University of California at Berkeley (Medical School, 1961)

English

General Surgery

JG

Dr. Jennifer Gianopulos

N/A

Reno, NV

Sex

Female

Languages

English

Phone

(775) 982-5000

English

General Surgery

MG

Dr. Michael Gerber

N/A

Reno, NV

Sex

Male

Languages

English

Phone

(775) 323-7500

American Board of Surgery

English

General Surgery

JI

Dr. Jorge Flores II

N/A

Reno, NV

Sex

Male

Languages

English

Phone

(510) 437-4965

American Board of Surgery

University of Iowa Carver College of Medicine (Medical School, 2006)

English

General Surgery

JD

Dr. John Daake

N/A

Reno, NV

Sex

Male

Languages

English

Phone

(775) 329-3100

Saint Louis University Hospital (Residency Hospital, 1980)

Saint Louis University School of Medicine (Medical School, 1975)

English

General Surgery

RA

Dr. Rupert Anderson

N/A

Reno, NV

Sex

Male

Languages

English

Phone

(775) 328-1242

University of Arkansas for Medical Sciences College of Medicine (Medical School, 1972)

English

General Surgery

FS

Dr. Frances Selsnick

N/A

Reno, NV

Sex

Female

Languages

English

Phone

(775) 786-7200

A C Logan Mem Hospital (Residency Hospital)

Brooklyn Hospital Center (Residency Hospital)

Mem Sloan Kettering Cancer Center (Residency Hospital)

Sea View Hospital (Residency Hospital)

Womans Hp St Luke Roosevlt (Residency Hospital)

English

General Surgery

KK

Dr. Karin Klove

N/A

Reno, NV

Sex

Female

Languages

English

Phone

(775) 287-0639

American Board of Surgery

UNIVERSITY OF SOUTHERN COLORADO (Medical School, 1998)

English

General Surgery

MM

Dr. Marc Melcher

N/A

Reno, NV

Sex

Male

Languages

English

Phone

(650) 725-9891

American Board of Surgery

TEACHERS COLLEGE AT COLUMBIA UNIVERSITY (Medical School, 1999)

English

Stanford Health Care

General Surgery

PL

Dr. Philip Lisagor

N/A

Reno, NV

Sex

Male

Languages

English

Phone

(501) 655-6912

University of Chicago (Medical School, 1972)

English

General Surgery

WS

Dr. William Conran Sr

N/A

Reno, NV

Sex

Male

Languages

English

Phone

(775) 626-1159

University of California, Irvine School of Medicine (Medical School, 1975)

English

Saint Mary''s Regional Medical Center

General Surgery

KM

Dr. Kyle Mock

N/A

Reno, NV

Sex

Male

Languages

English

Phone

(775) 323-7500

English

Renown Regional Medical Center

General Surgery

NM

Dr. Nicholas Manguso

N/A

Reno, NV

Sex

Male

Languages

English

Phone

(775) 982-6270

American Board of Surgery

English

Renown Regional Medical Center

Surgical Oncology

General Surgery

Understanding the Doctor Selection Process in Reno

Factors to consider when choosing a general surgeon

Board certification and credentials

  • Verify American Board of Surgery certification
  • Review additional certifications and specializations

Experience and specializations

  • Years of practice in general surgery
  • Subspecialties such as bariatric or minimally invasive surgery

Hospital affiliations

  • Check associations with reputable hospitals like Renown Regional Medical Center
  • Consider proximity and accessibility of affiliated hospitals

Patient reviews and ratings

  • Examine star ratings and number of reviews
  • Read patient feedback for insights on bedside manner and outcomes

Resources for finding general surgeons in Reno

Online directories and review platforms

  • Utilize Healthgrades for comprehensive doctor profiles
  • Explore other medical review websites for additional perspectives

Referrals from primary care physicians

  • Consult with your regular doctor for personalized recommendations
  • Discuss your specific surgical needs and preferences

Local medical associations and hospitals

  • Contact Nevada State Medical Association for surgeon listings
  • Inquire at Renown Health and Saint Mary's Regional Medical Center for surgeon directories

Top-Ranked General Surgeons in Reno

Dr. Alexander Ayzengart

Background and Qualifications

  • Education: University of Michigan Medical School
  • Board Certification: American Board of Surgery
  • Languages: English, Russian

Specializations

  • General Surgery
  • Bariatric Surgery
  • Minimally Invasive Surgery

Practice Information

  • Hospital Affiliations: Renown Regional Medical Center, Northern Nevada Medical Center
  • Contact: (775) 829-7999

Patient Satisfaction

  • 5.0-star rating based on 2 reviews

Dr. Gregg Nishi

Background and Qualifications

  • Education: George Washington University School of Medicine & Health Sciences
  • Board Certification: American Board of Surgery
  • Languages: English, Japanese

Specializations

  • General Surgery
  • Critical Care Surgery
  • Bariatric Surgery

Practice Information

  • Hospital Affiliations: Carson Tahoe Regional Medical Center
  • Contact: (310) 967-1884

Patient Satisfaction

  • 5.0-star rating based on 16 reviews

Dr. Katherine Jones

Background and Qualifications

  • Education: Bellevue Hospital Center / Medical College
  • Board Certifications: American Board of Surgery, American Board of Thoracic Surgery
  • Languages: English

Specializations

  • General Surgery
  • Cardiothoracic Surgery

Practice Information

  • Hospital Affiliations: Renown Regional Medical Center, Saint Mary's Regional Medical Center
  • Contact: (775) 982-6270

Patient Satisfaction

  • 5.0-star rating based on 6 reviews

Dr. Joseph Uccelli

Background and Qualifications

  • Education: University of Nevada at Las Vegas
  • Board Certification: American Board of Surgery
  • Languages: English

Specializations

  • General Surgery
  • Critical Care Surgery

Practice Information

  • Hospital Affiliations: Renown Regional Medical Center
  • Contact: (775) 323-7500

Patient Satisfaction

  • 5.0-star rating based on 1 review

Dr. Scott Cinelli

Background and Qualifications

  • Education: New York Institute of Technology / Old Westbury
  • Board Certification: American Board of Surgery
  • Languages: English

Specializations

  • General Surgery
  • Critical Care Surgery

Practice Information

  • Hospital Affiliations: Renown Regional Medical Center
  • Contact: (775) 324-0288

Patient Satisfaction

  • 5.0-star rating based on 12 reviews

Additional Resources for Finding the Right General Surgeon in Reno

Utilizing Online Platforms and Local Resources

Healthgrades and other review websites

  • Examine detailed profiles of surgeons like Dr. Michelle Chu with a 4.8 star rating from 74 reviews
  • Compare credentials, education, and patient feedback

Local medical associations and hospitals

  • Contact Renown Regional Medical Center for surgeon recommendations
  • Reach out to Nevada State Medical Association for validated information

Preparing for Surgical Consultations

Questions to ask potential surgeons

  • Inquire about experience with specific procedures, e.g., Dr. John Ganser's expertise in Bariatric and Thoracic Surgery
  • Discuss expected outcomes, potential risks, and recovery process

Gathering necessary information

  • Compile medical history and current medication list
  • Prepare questions about the surgeon's approach, e.g., Dr. Amanda Vanderclay's focus on Robotic and Minimally Invasive Surgery

Understanding Insurance and Costs

Verifying insurance coverage

  • Check if preferred surgeons like Dr. Brian Juell are in-network providers
  • Inquire about out-of-pocket expenses and payment plans

Exploring financial assistance options

  • Ask about sliding scale fees or charity care programs at hospitals like Saint Mary's Regional Medical Center
  • Investigate state-specific healthcare financial aid programs in Nevada