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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207R00000X | Internal Medicine | A93949 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00A939490 | 05 |
Street Address |
2170 SOUTH AVENUE |
City | SOUTH LAKE TAHOE |
State | CA |
Zip Code | 96150 |
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 |
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 | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
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. |
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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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 |
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.