James Rappaport, MD, founder of Sierra Regional Spine Institute moved from Stanford University Hospital and implemented the first outpatient microsurgery spine program in Reno over 25 years ago . Our medical Campus provides access to a state-of-the-art surgical center which provides the absolute best in spinal care, safety and patient comfort.Meet The Doctors‧Contact Us‧About SRSI‧Surgical Spinal Procedures‧Patient Resources‧Independent Medical Examiners.