DR. STEPHEN M BANNAR


Address: 2170 South Ave, South Lake Tahoe, CA 96150
Phone: 5305435554

DR. STEPHEN M BANNAR (NPI# 1093706681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093706681
Entity Type Individual
Full Name DR. STEPHEN M BANNAR
Credential MD
Practice Address 2170 South Ave
South Lake Tahoe
CA 96150
Mailing Address 1111 Emerald Bay Rd
South Lake Tahoe
CA 96150-6207
Practice Telephone 5305435554
Practice Fax Number 5305413016
Mailing Telephone 5305435659
Mailing Fax Number 5305418723
Enumeration Date 2005-11-02
Last Update Date 2018-08-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
7649 NV Allopathic & Osteopathic Physicians
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
G82106 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 2170 SOUTH AVE
City SOUTH LAKE TAHOE
State CA
Zip Code 96150

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881690485 Marissa Rose Muscat Family Medicine 2170 South Ave, South Lake Tahoe, CA 96150-7026 2005-06-28
1487201091 Holly Anne Burnam Registered Nurse 2170 South Ave, South Lake Tahoe, CA 96150-7008 2019-08-20
1447725916 Leeann Mills Physical Therapy Assistant 2170 South Ave, South Lake Tahoe, CA 96150-7026 2018-10-10
1639653322 Jessica Tina Cone Occupational Therapist 2170 South Ave, South Lake Tahoe, CA 96150-7008 2018-09-19
1972093391 Jordan Corinne Myers Technician 2170 South Ave, South Lake Tahoe, CA 96150-7008 2018-05-10
1780185892 Harrison Thomas Calhoun Brown Physical Therapist 2170 South Ave, South Lake Tahoe, CA 96150-7026 2018-02-23
1578064788 Morgan Humble Physical Therapist 2170 South Ave, South Lake Tahoe, CA 96150-7026 2018-02-22
1326576893 Heather Applegate Physical Therapy Assistant 2170 South Ave, South Lake Tahoe, CA 96150-7026 2017-05-30
1306372214 Julie Fernandez Physical Therapist 2170 South Ave, South Lake Tahoe, CA 96150-7026 2017-05-11
1316480981 Jordan Lewis Bugarske Physical Therapy Assistant 2170 South Ave, South Lake Tahoe, CA 96150-7026 2016-11-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750818969 Terri Wong Behavior Technician 908 Alameda Ave, #b, South Lake Tahoe, CA 96150 2017-05-18
1154735157 Catherine Anne Jones Dental Hygienist 1088 4th St # 6, South Lake Tahoe, CA 96150 2014-06-17
1245663194 Sheila Marie Gwin Behavioral Analyst 2111south Ave, South Lake Tahoe, CA 96150 2013-08-14
1164785598 Launa Jean Martin Doula 1399 Bozeman Dr, South Lake Tahoe, CA 96150 2012-06-20
1881957355 Elizabeth Marilyn Mcnamara Emergency Medicine Barton Memorial Hospital, 2107 South Ave, South Lake Tahoe, CA 96150 2012-06-20
1295034627 Dana Elizabeth Cox Chiropractor 3097 Harrison Ave., # 202, S. Lake Tahoe, CA 96150 2011-03-24
1639485162 April Lyn Westfall Dentist 3358 Sandy Way, # B, S Lake Tahoe, CA 96150 2010-08-21
1700199270 Rollie E Rohnow Pharmacist 1020 Al Tahoe Blvd, Rite Aid Pharmacy, South Lake Tahoe, CA 96150 2010-07-26
1699000455 Ellen Newell Mccullough Physical Therapist 1900 High Meadow Trail, South Lake Tahoe, CA 96150 2009-10-13
1093941148 Ashley Elizabeth Bedell Counselor 1137 Emerald Bay Rd., South Lake Tahoe, CA 96150 2009-06-03
Find all providers in zip 96150

Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356559082 Stephen Paul Abelow Orthopaedic Surgery 2311 Lake Tahoe Blvd, Suite 6, South Lake Tahoe, CA 96150-7129 2007-05-18
1871584276 Terrence R Orr Orthopaedic Surgery 2170 South Ave, South Lake Tahoe, CA 96150 2005-11-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1790341618 Casey S Revenko Orthopaedic Surgery 2999 Regent St Ste 225, Berkeley, CA 94705-2117 2019-05-15
1225504301 Amgad Alfred Orthopaedic Surgery 18145 Us Highway 18 Ste D, Apple Valley, CA 92307-2210 2018-10-16
1386136430 Valley River Orthopedics and Sports Medicine Orthopaedic Surgery Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 2018-06-05
1073026696 Optimal Physician Surgical Group Orthopaedic Surgery 25067 Jim Bridger Rd, Hidden Hills, CA 91302-1128 2017-11-06
1336669456 Beach Cities Orthopedics Surgery Center, LLC Orthopaedic Surgery 400 S Sepulveda Blvd Ste 110, Manhattan Beach, CA 90266-6814 2017-06-20
1750818860 Health Link Medical Group Inc Orthopaedic Surgery 899 Northgate Dr Ste 400, San Rafael, CA 94903-3667 2017-05-19
1962861476 Mehta Orthopedics Orthopaedic Surgery 32145 Alvarado Niles Rd Ste 209, Union City, CA 94587-2930 2016-02-12
1649646282 Bay Area Surgical Specialists, Inc. A Medical Corporation Orthopaedic Surgery 5924 Stoneridge Dr Ste 202, Pleasanton, CA 94588-5400 2015-08-18
1114346111 Sean Robinson Orthopaedic Surgery 7551 Timberlake Way Ste 200, Sacramento, CA 95823-5422 2014-04-08
1851717938 William R Campbell Do Prof Corp Orthopaedic Surgery 1 Daniel Burnham Ct Ste 365c, San Francisco, CA 94109-5490 2014-03-12
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Competitor

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City SOUTH LAKE TAHOE
Zip Code 96150

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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