CARSON TAHOE PHYSICIAN CLINICS (NPI# 1679853089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679853089 |
| Entity Type | Organization |
| Organization Name | CARSON TAHOE PHYSICIAN CLINICS |
| Practice Address |
1200 Moutain Street Suite 220 Carson City NV 89703 |
| Mailing Address |
1201 S Carson Street Carson City NV 89701 |
| Practice Telephone | 7758836888 |
| Practice Fax Number | 7758834915 |
| Mailing Telephone | 7754457337 |
| Mailing Fax Number | 7758411142 |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-17 |
| Authorized Official Name | JAMES M HINEY (DIRECTOR) |
| Authorized Official Telephone | 7754457291 |
| Is Organization Subpart | Y |
| Parent Organization Name | CARSON TAHOE PHYSICIAN CLINICS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447568787 | Carson Tahoe Physician Clinics | Nurse Practitioner | 3770 Us Hwy 395 So, Carson City, NV 89705-6898 | 2010-09-21 |
| 1578893202 | Carson Tahoe Physician Clinics | Internal Medicine | 901 Medical Center Dr, Suite 102, Dayton, NV 89403-7458 | 2009-12-31 |
| 1952686602 | Carson Tahoe Physician Clinics | Clinic/Center | 1201 S Carson Street, Carson City, NV 89701 | 2011-10-13 |
| 1013297423 | Carson Tahoe Physician Clinics | Clinic/Center | 3200 Market Street, Carson City, NV 89706-7984 | 2011-08-17 |
| 1578843983 | Carson Tahoe Physician Clinics | Psychiatry & Neurology | 775 Fleischmann Way, Carson City, NV 89706 | 2011-08-17 |
| 1518267301 | Carson Tahoe Physician Clinics | Family Medicine | 925 Ironwood Dr, Suite 2103, Minden, NV 89423-5178 | 2010-10-26 |
| 1780997726 | Carson Tahoe Physician Clinics | Internal Medicine | 925 Ironwood Dr, Suite 2107, Minden, NV 89423-5178 | 2010-07-20 |
| 1659695005 | Carson Tahoe Physician Clinics | Internal Medicine | 1535 Medical Parkway, Suite B, Carson City, NV 89703-4367 | 2010-03-15 |
| 1679897037 | Carson Tahoe Physician Clinics | Internal Medicine | 925 Ironwood Drive, Suite 2107, Minden, NV 89423-5180 | 2010-03-15 |
| 1588895874 | Carson Tahoe Physician Clinics | Internal Medicine | 925 Ironwood Dr, #2108, Minden, NV 89423-5178 | 2009-08-04 |
| Street Address |
1200 MOUTAIN STREET SUITE 220 |
| City | CARSON CITY |
| State | NV |
| Zip Code | 89703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487215232 | Madison M Gurries | Audiologist | 1493 Medical Parkway, Carson City, NV 89703 | 2019-06-24 |
| 1609332949 | Tsl Skyline Estates, LLC | Assisted Living Facility | 2705 Mountain St., Carson City, NV 89703 | 2019-02-12 |
| 1790252120 | Reno Orthopaedic Clinic Inc. | Physical Therapist | 1365 Medical Parkway, Carson City, NV 89703 | 2018-10-24 |
| 1265910970 | Marvel Dental Carson City, LLC | Clinic/Center | 410 Fleischmann Way Suite A., Carson City, NV 89703 | 2018-08-03 |
| 1619348489 | Nevada Health Centers Inc. | Clinic/Center | 618 W. Musser Street, Carson City, NV 89703 | 2015-10-19 |
| 1518351089 | Christopher Vlasek | Family Medicine | 412 W John St Ste B, Carson City, NV 89703 | 2015-03-23 |
| 1902215254 | Grant Vaughn Davis | Behavioral Analyst | 1316 Monte Rosa Drive, Carson City, NV 89703 | 2014-08-11 |
| 1437563152 | Nina Patynowski | Nurse Practitioner | 415 W Sofia St, Ste 100, Carson City, NV 89703 | 2014-06-20 |
| 1790094076 | Darlene Parrish | Occupational Therapy Assistant | 3050 N. Ormsby Bl, Carson City, NV 89703 | 2010-10-04 |
| 1164667119 | Linda Louise Bellegray | Marriage & Family Therapist | 504 N. Division, Carson City, NV 89703 | 2008-12-04 |
| Find all providers in zip 89703 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518351089 | Christopher Vlasek | Family Medicine | 412 W John St Ste B, Carson City, NV 89703 | 2015-03-23 |
| 1558676106 | Ted K Matuszewski Md Prof Corp | Family Medicine | 4095 N Carson St, Carson City, NV 89706-1936 | 2010-08-06 |
| 1033300611 | Marirose Cutillar | Family Medicine | 2527 N Carson St, Suite 190, Carson City, NV 89706-0147 | 2007-08-07 |
| 1346300035 | Frank Anthony Shallenberger | Family Medicine | 1231 Country Club Dr, Carson City, NV 89703 | 2006-12-11 |
| 1083722813 | Sally A Chimarusti | Family Medicine | 2874 N Carson St Ste 127, Carson City, NV 89706-1681 | 2006-08-29 |
| 1336166370 | Charles Brian Sonderegger | Family Medicine | 412 W John St, Ste B, Carson City, NV 89703-8829 | 2006-07-16 |
| 1669400040 | Bryan L Ricks | Family Medicine | 1200 Mountian St, Carson City, NV 89703-3821 | 2006-06-28 |
| 1346286077 | Urgent Care Association of Nevada, LLC | Family Medicine | 1711 N Roop St, Carson City, NV 89706-3113 | 2006-06-21 |
| 1578528139 | William Patrick O'shaughnessy | Family Medicine | 1201 S Carson St, Carson City, NV 89701-5225 | 2006-04-18 |
| 1588628507 | Gregory John Kenney | Family Medicine | 2444 Kingsview Way, Carson City, NV 89703-5381 | 2006-04-14 |
| Find all providers in CARSON CITY | ||||
| City | CARSON CITY |
| Zip Code | 89703 |
Please comment or provide details below to improve the information on CARSON TAHOE PHYSICIAN CLINICS.
| 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.