CARSON TAHOE PHYSICIAN CLINICS (NPI# 1679897037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679897037 |
| Entity Type | Organization |
| Organization Name | CARSON TAHOE PHYSICIAN CLINICS |
| Practice Address |
925 Ironwood Drive Suite 2107 Minden NV 89423-5180 |
| Mailing Address |
2874 N. Carson Street Suite 200 Carson City NV 89706-0251 |
| Practice Telephone | 7754457838 |
| Practice Fax Number | 7754457898 |
| Mailing Telephone | 7752833096 |
| Mailing Fax Number | 7752833091 |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |
| Authorized Official Name | RICHARD LAWLEY (VP HR/SUPPORT SERVICES) |
| Authorized Official Telephone | 7754458689 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679853089 | Carson Tahoe Physician Clinics | Family Medicine | 1200 Moutain Street, Suite 220, Carson City, NV 89703 | 2011-08-17 |
| 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 |
| 1588895874 | Carson Tahoe Physician Clinics | Internal Medicine | 925 Ironwood Dr, #2108, Minden, NV 89423-5178 | 2009-08-04 |
| Street Address |
925 IRONWOOD DRIVE SUITE 2107 |
| City | MINDEN |
| State | NV |
| Zip Code | 89423-5180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174597058 | David Howard Johnson | Family Medicine | 925 Ironwood Drive, Suite 2103, Minden, NV 89423-5180 | 2006-02-15 |
| 1568596229 | David Andrew Johnson | Family Medicine | 925 Ironwood Drive, Suite 2105, Minden, NV 89423-5180 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124404728 | Jenna Ortiz | Counselor | 1650 Hwy 395 N, Suite 103a, Minden, NV 89423 | 2015-08-05 |
| 1508270042 | Courtney Michele Carmichael Hight | Physical Therapist | 1642 Mackland Ave, Minden, NV 89423 | 2014-06-12 |
| 1205274834 | Robert William Stone | Rehabilitation Practitioner | 1512 Hwy 395 N, Suite 3, Gardnerville, NV 89423 | 2013-06-05 |
| 1992068316 | David S Hoskins Md, Ltd | Family Medicine | 1664 Hwy 395 North, Suite 201, Minden, NV 89423 | 2012-06-20 |
| 1831450915 | Rachel Arvella Pryde | Social Worker | 1644 Highway 395 N, Suite D, Minden, NV 89423 | 2012-06-05 |
| 1316229610 | Jay D Marriage | Dentist | 1700 County Road, Suite E, Minden, NV 89423 | 2011-09-13 |
| 1053590760 | Gail Jean Jacobs | Social Worker | 1650 Hwy 395 Suite 202c, Minden, NV 89423 | 2007-10-30 |
| 1972797835 | Steven Brown Md PC | Internal Medicine | 1667 Lucerne Dr, Ste A, Minden, NV 89423 | 2007-09-04 |
| 1760681365 | Optimalaire Inc | Durable Medical Equipment & Medical Supplies | 2559-1 Precision Drive, Suite 1, Minden, NV 89423 | 2007-07-13 |
| 1316167406 | Jay D Marriage Dds | Dentist | 1700 County Rd, Suite B, Minden, NV 89423 | 2007-04-30 |
| Find all providers in zip 89423 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083618912 | Manish Dhawan | Internal Medicine | 10600 Industrial Dr, Minden, LA 71055 | 2005-06-09 |
| 1780997726 | Carson Tahoe Physician Clinics | Internal Medicine | 925 Ironwood Dr, Suite 2107, Minden, NV 89423-5178 | 2010-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679785141 | John A Ellerton Md.ltd Dba Cancer Consultants | Internal Medicine | 2020 W. Palomino Ln, Suite #110, Las Vegas, NV 89106-4812 | 2007-05-04 |
| 1164574281 | Donald Cassidy Md Ltd | Internal Medicine | 75 Pringle Way Ste 711, Reno, NV 89502-1472 | 2007-01-17 |
| 1568513059 | Gary Allen Palmer | Internal Medicine | 6827 W Tropicana Ave Ste 110, Las Vegas, NV 89103-4920 | 2007-01-13 |
| 1063587459 | Shamoon Ahmad | Internal Medicine | 3340 Topaz St, Suite 100, Las Vegas, NV 89121-3903 | 2006-11-21 |
| 1356442438 | Desh P Sharma | Internal Medicine | 6900n. Pecos Rd, 1a216, N. Las Vegas, NV 89086 | 2006-09-25 |
| 1952414948 | Delva P. Deauna-limayo | Internal Medicine | 3150 N Tenaya Way Ste 530, Las Vegas, NV 89128-0465 | 2006-08-16 |
| 1972512390 | Paul Michael | Internal Medicine | 199 Courtney Ann Dr, Henderson, NV 89074 | 2006-08-05 |
| 1659389062 | Arlene Bayreder | Internal Medicine | 3121 S. Maryland Pkwy Suite 300, Las Vegas, NV 29109 | 2006-08-03 |
| 1619983178 | James Forsythe | Internal Medicine | 521 Hammill Ln, Reno, NV 89511-1004 | 2006-08-01 |
| 1437164100 | Antonio Herlander Fontelonga | Internal Medicine | 75 Pringle Way Ste 706, Reno, NV 89502-1472 | 2006-07-30 |
| Find all providers with the same taxonomy | ||||
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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.