DR. JENNIFER ANN EHMANN (NPI# 1710984075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710984075 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER ANN EHMANN |
| Credential | MD |
| Practice Address |
2201 South Ave South Lake Tahoe CA 96150-7025 |
| Mailing Address |
1111 Emerald Bay Rd South Lake Tahoe CA 96150-6207 |
| Practice Telephone | 5305435623 |
| Practice Fax Number | 5305415738 |
| Mailing Telephone | 5305435659 |
| Mailing Fax Number | 5305418723 |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2015-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A67687 | CA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 11072 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
2201 SOUTH AVE |
| City | SOUTH LAKE TAHOE |
| State | CA |
| Zip Code | 96150-7025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477022358 | Drew N Herbert | Nurse Practitioner | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2018-11-20 |
| 1417442419 | Sierra C Armstrong | Nurse Practitioner | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2018-06-22 |
| 1902327992 | Laura Stevens | Social Worker | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2017-06-29 |
| 1861937989 | Andrea Clark | Nurse Practitioner | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2016-12-28 |
| 1497202121 | Andrea Marie Baldwin | Nurse Practitioner | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2016-09-11 |
| 1699187849 | Tessa Dahlen Amos | Nurse Practitioner | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2014-05-22 |
| 1134558000 | Jacquelyn Noel Sartorius | Physician Assistant | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2013-11-01 |
| 1548607955 | Brooke M Pancio | Family Medicine | 2201 South Ave, South Lake Tahoe, CA 96150 | 2013-05-24 |
| 1063856094 | Danielle Marie Priem | Pediatrics | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2013-04-22 |
| 1558600122 | Elke Anne Houser | Nurse Practitioner | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2013-02-02 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669641189 | Michael P. Doyle, M.d. | Pediatrics | 2074 Lake Tahoe Blvd Ste 9, South Lake Tahoe, CA 96150-6417 | 2008-02-28 |
| 1063856094 | Danielle Marie Priem | Pediatrics | 2201 South Ave, South Lake Tahoe, CA 96150-7025 | 2013-04-22 |
| 1265460463 | Michael Phillip Doyle | Pediatrics | 2074 Lake Tahoe Blvd, Ste 9, South Lake Tahoe, CA 96150-6407 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879099 | Dr Sameh Elamir Md PC | Pediatrics | 1834 W Lincoln Ave Ste R, Anaheim, CA 92801-5425 | 2020-10-17 |
| 1710590971 | Javier R Rios Md, A Professional Corporation | Pediatrics | 6926 Brockton Ave Ste 4&7, Riverside, CA 92506-3800 | 2020-08-27 |
| 1275151342 | California Pediatric & Adolescent Care Inc | Pediatrics | 3340 W Ball Rd Ste A, Anaheim, CA 92804-3729 | 2020-07-06 |
| 1891312153 | Anna Munoz Chavira, Md | Pediatrics | 10603 Horton Ave, Downey, CA 90241-2109 | 2020-07-02 |
| 1699391219 | Margaret Dillon Burchell | Pediatrics | 1524 Columbus Ave, Burlingame, CA 94010-5512 | 2020-06-19 |
| 1780206003 | Pineapple Pediatrics | Pediatrics | 19 E Citrus Ave Ste 201, Redlands, CA 92373-4742 | 2020-05-08 |
| 1497374904 | Ollie Health Medical Group, Inc. | Pediatrics | 9700 Business Park Dr Ste 406, Sacramento, CA 95827-1718 | 2020-04-14 |
| 1790304707 | Nicollette L. Ballou, M.d. | Pediatrics | 3831 Hughes Ave Ste 602, Culver City, CA 90232-6845 | 2020-04-09 |
| 1083243091 | Anita Giselle Wright | Pediatrics | 4003 Clarinda Dr, Tarzana, CA 91356-5048 | 2020-04-02 |
| 1669005500 | Family Choice Pediatrics Inc | Pediatrics | 3801 Katella Ave Ste 221, Los Alamitos, CA 90720-3380 | 2020-02-19 |
| 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.