CARSON MEDICAL GROUP (NPI# 1912148123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912148123 |
| Entity Type | Organization |
| Organization Name | CARSON MEDICAL GROUP |
| Practice Address |
1470 Medical Parkway Ste 110 Carson City NV 89703 |
| Mailing Address |
1200 Mountain St. Carson City NV 89703 |
| Practice Telephone | 7758833636 |
| Practice Fax Number | 7758822382 |
| Mailing Telephone | 7758833636 |
| Mailing Fax Number | 7758822382 |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |
| Authorized Official Name | JAMES T. BREEDEN (PRESIDENT) |
| Authorized Official Telephone | 7758833636 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | APN001101 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
1470 MEDICAL PARKWAY STE 110 |
| City | CARSON CITY |
| State | NV |
| Zip Code | 89703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093751091 | Stephen Michael Tann | Internal Medicine | 1470 Medical Parkway, Suite 160, Carson City, NV 89703-4636 | 2006-06-20 |
| 1861647844 | Carmella Anne Downing | Physician Assistant | 1470 Medical Parkway, Suite 160, Carson City, NV 89703-1576 | 2008-11-18 |
| 1801961859 | James Lowell Pincock | Specialist | 1470 Medical Parkway, Ste #260, Carson City, NV 89703 | 2006-11-22 |
| 1841220845 | Nathan H Ho | Internal Medicine | 1470 Medical Parkway, Suite 160, Carson City, NV 89703-4636 | 2006-07-04 |
| 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 |
| 1679853089 | Carson Tahoe Physician Clinics | Family Medicine | 1200 Moutain Street, Suite 220, Carson City, NV 89703 | 2011-08-17 |
| 1790094076 | Darlene Parrish | Occupational Therapy Assistant | 3050 N. Ormsby Bl, Carson City, NV 89703 | 2010-10-04 |
| Find all providers in zip 89703 | ||||
| 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 |
|---|---|---|---|---|
| 1497936694 | Mountain Meadows Medical Group of California, Inc. | Obstetrics & Gynecology | 973 Mica Dr Ste 200, Carson City, NV 89705-7258 | 2007-11-16 |
| 1700857422 | Gary F Willen | Obstetrics & Gynecology | 961 Mica Dr, Carson City, NV 89705-7269 | 2006-01-30 |
| 1073584785 | Caroline G Habaradas | Obstetrics & Gynecology | 1200 Mountain St, Carson City, NV 89703-3821 | 2006-01-30 |
| 1063495877 | James D Spencer | Obstetrics & Gynecology | 406 E Elm St, Carson City, MI 48811-9693 | 2005-11-25 |
| 1518959022 | Michelle Leigh Becher | Obstetrics & Gynecology | 401 East Elm Street, Carson City, MI 48811-0670 | 2005-08-19 |
| 1407276546 | Denise Alejandra Pineda Fortin | Obstetrics & Gynecology | 1475 Medical Pkwy, Carson City, NV 89703-4635 | 2014-04-16 |
| 1639517667 | Kira Brooks | Obstetrics & Gynecology | 1475 Medical Pkwy, Carson City, NV 89703-4635 | 2013-06-12 |
| 1528316932 | Carson City Hospital | Obstetrics & Gynecology | 639 E Main St, Carson City, MI 48811-9795 | 2012-08-16 |
| 1902153083 | Sparrow Carson Hospital | Obstetrics & Gynecology | 401 E Elm St, Carson City, MI 48811-8600 | 2012-08-08 |
| 1962762666 | Katherine Lynn. Peterson | Obstetrics & Gynecology | 1475 Medical Pkwy, Carson City, NV 89703-4635 | 2012-05-29 |
| Find all providers in CARSON CITY | ||||
| City | CARSON CITY |
| Zip Code | 89703 |
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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.