OLIVER FELIX MEDZIHRADSKY


Address: 2170 South Avenue, South Lake Tahoe, CA 96150
Phone: 5305423000

OLIVER FELIX MEDZIHRADSKY (NPI# 1972579373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972579373
Entity Type Individual
Full Name OLIVER FELIX MEDZIHRADSKY
Credential MD
Practice Address 2170 South Avenue
South Lake Tahoe
CA 96150
Mailing Address 1111 Emerald Bay Rd
South Lake Tahoe
CA 96150-6207
Practice Telephone 5305423000
Practice Fax Number 5305418723
Mailing Telephone 5305435652
Mailing Fax Number 5305418723
Enumeration Date 2006-02-24
Last Update Date 2007-10-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine A93949 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A939490 05

Office Location

Street Address 2170 SOUTH AVENUE
City SOUTH LAKE TAHOE
State CA
Zip Code 96150

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699738914 Barton Healthcare System Durable Medical Equipment & Medical Supplies 2170 South Avenue, South Lake Tahoe, CA 96150 2006-04-08

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487653663 Gary Harry Cooper Internal Medicine 2175 South Ave, South Lake Tahoe, CA 96150-7024 2005-07-19
1336350479 Mary Rhonda Sneeringer Internal Medicine 2170 South Ave, South Lake Tahoe, CA 96150-7026 2007-05-24
1700975976 David M K I Liu Internal Medicine 2201 South Ave, South Lake Tahoe, CA 96150-7025 2006-10-12
1245242411 Allison Herman Steinmetz Internal Medicine 1090 3rd St, South Lake Tahoe, CA 96150-3485 2006-08-13
1497795678 John Frederick Lewison Internal Medicine 2170 South Ave, South Lake Tahoe, CA 96150-7026 2006-06-07
1063473171 Stefan Ernest Schunk Internal Medicine 2170 South Ave, South Lake Tahoe, CA 96150-7026 2006-03-29

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1538768064 Express Carenow, Inc Internal Medicine 4100 Central Ave Ste 101, Riverside, CA 92506-2930 2020-10-26
1861091795 Sequoia Radiation Oncology Servics, Inc Internal Medicine 4945 W Cypress Ave Ste A, Visalia, CA 93277-1592 2020-10-21
1639778673 Deepak Mehta Internal Medicine C/o Medical Staff Office, Cmf, Vacaville, CA 95696 2020-10-21
1053919332 Kingsley Clinic of California, PC Internal Medicine 275 E Hillcrest Dr Ste 160, Thousand Oaks, CA 91360-7772 2020-10-09
1144836826 Dr. Stephanie Mcclellen, Md PC Internal Medicine 900 Hyde St Fl 4, San Francisco, CA 94109-4806 2020-09-18
1346856358 Kahala Biosciences Inc Internal Medicine 3 Whatney Ste 200, Irvine, CA 92618-2826 2020-09-16
1063027050 Vinay Panchal Md Inc Internal Medicine Colusa Medical Center, 199 E Webster St, Colusa, CA 95932-2954 2020-09-15
1962017269 One Primary Care Inc. Internal Medicine 800 S Central Ave Ste 212, Glendale, CA 91204-4388 2020-09-14
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Competitor

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City SOUTH LAKE TAHOE
Zip Code 96150

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Dataset Information

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.

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