LAKE TAHOE ORTHOPAEDIC INSTITUTE (NPI# 1306086327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306086327 |
| Entity Type | Organization |
| Organization Name | LAKE TAHOE ORTHOPAEDIC INSTITUTE |
| Other Organization Name | DME - THIRD STREET |
| Practice Address |
1139 3rd St South Lake Tahoe CA 96150-3465 |
| Mailing Address |
1111 Emerald Bay Rd South Lake Tahoe CA 96150-6207 |
| Practice Telephone | 5305413100 |
| Practice Fax Number | 5305413016 |
| Mailing Telephone | 5305435659 |
| Mailing Fax Number | 5305418723 |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2012-09-19 |
| Authorized Official Name | DR. STEPHEN M BANNAR (PRESIDENT) |
| Authorized Official Telephone | 5305413100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| DME - Third Street | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356590988 | Lake Tahoe Orthopaedic Institute | Durable Medical Equipment & Medical Supplies | 1516 Virginia Ranch Rd Ste 101, Gardnerville, NV 89410-5730 | 2008-09-18 |
| 1598914186 | Lake Tahoe Orthopaedic Institute | Durable Medical Equipment & Medical Supplies | 212 Elks Point Rd Ste 200, Zephyr Cove, NV 89448-9800 | 2008-09-18 |
| 1164671798 | Lake Tahoe Orthopaedic Institute | Durable Medical Equipment & Medical Supplies | 925 Tahoe Blvd Ste 105, Incline Village, NV 89451-7498 | 2008-09-18 |
| Street Address |
1139 3RD ST |
| City | SOUTH LAKE TAHOE |
| State | CA |
| Zip Code | 96150-3465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750372116 | Christopher S Proctor | Physical Therapist | 1139 3rd St, South Lake Tahoe, CA 96150-3465 | 2005-11-03 |
| 1427310895 | William R Shepard | Surgery | 1139 3rd St, South Lake Tahoe, CA 96150 | 2012-06-12 |
| 1831483767 | Tahoe Orthopedics and Sports Medicine, Inc | Orthopaedic Surgery | 1139 3rd St, South Lake Tahoe, CA 96150-3465 | 2011-06-08 |
| 1740589472 | Brett Erica Sibley | Physician Assistant | 1139 3rd St, South Lake Tahoe, CA 96150-3465 | 2011-03-21 |
| 1205145703 | Jessica Marie Starr | Physician Assistant | 1139 3rd St, South Lake Tahoe, CA 96150-3465 | 2010-09-30 |
| 1700104429 | Rituparna Das | Psychiatry & Neurology | 1139 3rd St, South Lake Tahoe, CA 96150 | 2010-05-05 |
| 1679716914 | Kyle Erkkila | Physician Assistant | 1139 3rd St, South Lake Tahoe, CA 96150-3465 | 2009-04-16 |
| 1891943528 | James Jonathan Pratt | Specialist/Technologist | 1139 3rd St, South Lake Tahoe, CA 96150-3465 | 2008-09-06 |
| 1043477011 | Nancy Hedquist | Registered Nurse | 1139 3rd St, South Lake Tahoe, CA 96150-3465 | 2008-05-19 |
| 1952351975 | William Hershel Cottrell | Orthopaedic Surgery | 1139 3rd St, South Lake Tahoe, CA 96150-3465 | 2006-05-11 |
| Find all providers in the same location | ||||
| 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 Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649389164 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 1020 Al Tahoe Boulevard, South Lake Tahoe, CA 96150-4501 | 2006-08-29 |
| 1124057153 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 1020 Johnson Blvd, South Lake Tahoe, CA 96150-8214 | 2006-07-02 |
| 1437191269 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 3471 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-8948 | 2006-06-13 |
| 1699738914 | Barton Healthcare System | Durable Medical Equipment & Medical Supplies | 2170 South Avenue, South Lake Tahoe, CA 96150 | 2006-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316192 | Ramon D Riego Jr. | Durable Medical Equipment & Medical Supplies | 12371 Lewis St Ste 202, Garden Grove, CA 92840-4688 | 2020-11-04 |
| 1447851001 | Christy Ann Packard | Durable Medical Equipment & Medical Supplies | 11130 Linda Dr, Auburn, CA 95602-9232 | 2020-11-02 |
| 1255932786 | Kabafusion, LLC | Durable Medical Equipment & Medical Supplies | 5860 W. Las Positas Blvd, Suite 19, Pleasanton, CA 94588 | 2020-11-02 |
| 1023618709 | S & K Dme LLC | Durable Medical Equipment & Medical Supplies | 9910 Irvine Center Dr Bldg 7, Irvine, CA 92618-4357 | 2020-10-30 |
| 1942800800 | Ade Medical and Equipments Suppliers, LLC | Durable Medical Equipment & Medical Supplies | 14205 Inglewood Ave, Hawthorne, CA 90250-6729 | 2020-10-29 |
| 1689274755 | Genesis Hcp of Orange County | Durable Medical Equipment & Medical Supplies | 11552 Knott St # C11, Garden Grove, CA 92841-1824 | 2020-10-28 |
| 1376143479 | Impakt Medical, LLC | Durable Medical Equipment & Medical Supplies | 14125 Capri Dr Ste 8, Los Gatos, CA 95032-1516 | 2020-10-28 |
| 1811596901 | Kd Medical Inc | Durable Medical Equipment & Medical Supplies | 4565 Monaco Ct, Orcutt, CA 93455-4073 | 2020-10-20 |
| 1710585161 | Interlang LLC Dba Montgomery Dme | Durable Medical Equipment & Medical Supplies | 14109 Pontlavoy Ave, Santa Fe Spgs, CA 90670-4934 | 2020-10-16 |
| 1700484219 | Oa Medicals LLC | Durable Medical Equipment & Medical Supplies | 1704 W Manchester Ave Ste 203, Los Angeles, CA 90047-3057 | 2020-10-16 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH LAKE TAHOE |
| Zip Code | 96150 |
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| 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.