DESERT ROSE OBSTETRICS & GYNECOLOGY (NPI# 1588718522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588718522 |
| Entity Type | Organization |
| Organization Name | DESERT ROSE OBSTETRICS & GYNECOLOGY |
| Other Organization Name | DESERT ROSE WOMEN'S CARE |
| Practice Address |
2170 South Ave South Lake Tahoe CA 96150 |
| Mailing Address |
P.o. Box 2046 Carson City NV 89702 |
| Practice Telephone | 7758828487 |
| Practice Fax Number | 7758828487 |
| Mailing Telephone | 7758828487 |
| Mailing Fax Number | 7758828487 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2014-01-08 |
| Authorized Official Name | MATTHEW JOSEPH BARULICH III (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 7758465228 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 0116950 | NV | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 5413 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 002013051 | 05 |
| Other Name | Type Code |
|---|---|
| Desert Rose Women's Care | Doing Business As Name - Organization |
| Street Address |
2170 SOUTH AVE |
| City | SOUTH LAKE TAHOE |
| State | CA |
| Zip Code | 96150 |
| 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 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588661359 | Mary Kelly Shanahan | Obstetrics & Gynecology | 1154 Emerald Bay Rd, South Lake Tahoe, CA 96150-6288 | 2005-07-07 |
| 1861780215 | Lisa Marie Carbonell | Obstetrics & Gynecology | 2175 South Ave, South Lake Tahoe, CA 96150-7024 | 2011-07-19 |
| 1841592037 | Amanda Stevens Weavil | Obstetrics & Gynecology | 2175 South Ave, South Lake Tahoe, CA 96150-7024 | 2010-11-22 |
| 1902117732 | Clare Elizabeth Rudolph | Obstetrics & Gynecology | 2175 South Ave, South Lake Tahoe, CA 96150-7024 | 2010-06-26 |
| 1164679940 | Emerald Bay Center for Women's Health, Inc. | Obstetrics & Gynecology | 1154 Emerald Bay Rd, South Lake Tahoe, CA 96150-6288 | 2008-08-22 |
| 1588841712 | Megan F Jewell | Obstetrics & Gynecology | 2175 South Ave, South Lake Tahoe, CA 96150-7024 | 2008-01-30 |
| 1548246440 | Thomas Alan Goldenberg | Obstetrics & Gynecology | 1067 4th St, South Lake Tahoe, CA 96150-3459 | 2005-12-22 |
| 1891784203 | Matthew Joseph Barulich IIi | Obstetrics & Gynecology | 2170 South Ave, South Lake Tahoe, CA 96150-7026 | 2005-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639786122 | My Virtual Physician, P.c | Obstetrics & Gynecology | 4900 California Ave Fl 2, Bakersfield, CA 93309-7024 | 2020-09-28 |
| 1942817804 | La Vista Health | Obstetrics & Gynecology | 180 W Willow St Unit 3, Pomona, CA 91768-1800 | 2020-09-24 |
| 1629685730 | Farshid Moossazadeh, M.d., A Professional Corporation | Obstetrics & Gynecology | 11633 Hawthorne Blvd Ste 300, Hawthorne, CA 90250-2369 | 2020-09-23 |
| 1528673886 | Dtla Gynecology | Obstetrics & Gynecology | 1245 Wilshire Blvd Ste 690, Los Angeles, CA 90017-4880 | 2020-09-14 |
| 1659982130 | Anaya Women's Ob/gyn Group | Obstetrics & Gynecology | 18056 Wika Rd Ste B, Apple Valley, CA 92307-2194 | 2020-08-10 |
| 1477163046 | Pioneers Memorial Healthcare District | Obstetrics & Gynecology | 751 W Legion Rd Ste 204, Brawley, CA 92227-7755 | 2020-08-07 |
| 1669093357 | Adventist Health Physicians Network | Obstetrics & Gynecology | 1505 Wilson Ter Ste 300, Glendale, CA 91206-4073 | 2020-05-04 |
| 1376180893 | Elisa M Lindley Md Corporation | Obstetrics & Gynecology | 41750 Rancho Las Palmas Dr Ste D1, Rancho Mirage, CA 92270-5512 | 2019-12-03 |
| 1043864184 | Gail Mezrow | Obstetrics & Gynecology | 1280 Coldwater Canyon Dr, Beverly Hills, CA 90210-2405 | 2019-07-26 |
| 1417516444 | Matrix Clinical Research | Obstetrics & Gynecology | 1919 W 7th St Fl 2, Los Angeles, CA 90057-4103 | 2019-06-12 |
| 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.