John S Edgcomb (NPI# 1881771251, PAC ID# 1951384015) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1881771251 |
| PAC ID by PECOS | 1951384015 |
| Professional Enrollment ID | I20051122000806 |
| Full Name | John S Edgcomb |
| Organization Legal Name | CARSON TAHOE REGIONAL HEALTHCARE |
| Address |
1600 Medical Pkwy Carson City NV 89703-4625 |
| Gender | M |
| Credential | MD |
| Medical School | HOWARD UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1759284862 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290019 | CARSON TAHOE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1600 Medical Pkwy, Carson City, NV 89703-4625 | CARSON TAHOE REGIONAL HEALTHCARE | |
| 1600 Medical Pkwy, Carson City, NV 89703-4625 | 7754458000 | CARSON TAHOE EMERGENCY PHYSICIANS |
| Organization Legal Name | CARSON TAHOE REGIONAL HEALTHCARE |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Manasseh A Chibwe | Nurse Practitioner | Carson Tahoe Regional Healthcare | 1201 S Carson St, Carson City, NV 89701-5225 |
| Stephan E Swearngin | Family Medicine | Carson Tahoe Regional Healthcare | 901 Medical Ctr Dr, Dayton, NV 89403-7458 |
| Cynthia Z Novak | Family Medicine | Carson Tahoe Regional Healthcare | 1600 Medical Pkwy, Carson City, NV 89703-4625 |
| Sungjoon T Carlson | Physician Assistant | Carson Tahoe Regional Healthcare | 1600 Medical Pkwy, Carson City, NV 89703-4625 |
| Lorenzo B Villegas | Nurse Practitioner | Carson Tahoe Regional Healthcare | 1201 S Carson St, Carson City, NV 89701-5225 |
| Joshua Naeger | Nurse Practitioner | Carson Tahoe Regional Healthcare | 1201 S Carson St, Carson City, NV 89701-5225 |
| Mary M Lushina | Nurse Practitioner | Carson Tahoe Regional Healthcare | 1201 S Carson St, Carson City, NV 89701-5225 |
| Evan C Rowley | Physician Assistant | Carson Tahoe Regional Healthcare | 1600 Medical Pkwy, Carson City, NV 89703-4625 |
| Shelinda Dennis | Nurse Practitioner | Carson Tahoe Regional Healthcare | 1201 S Carson St, Carson City, NV 89701-5225 |
| Bridget Henderson | Registered Dietitian Or Nutrition Professional | Carson Tahoe Regional Healthcare | 1600 Medical Pkwy, Carson City, NV 89703-4625 |
| Street Address |
1600 MEDICAL PKWY |
| City | CARSON CITY |
| State | NV |
| Zip | 89703-4625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raymond H Scott Iii | Internal Medicine | Jose A Aguirre Md PC | 1600 Medical Pkwy, Carson City, NV 89703-4625 |
| Sara M Ream | Emergency Medicine | Carson Tahoe Emergency Physicians | 1600 Medical Pkwy, Carson City, NV 89703-4625 |
| Stephen T Hewitt | Hospitalist | Jose A Aguirre Md PC | 1600 Medical Pkwy, Carson City, NV 89703-4625 |
| Cynthia Z Novak | Family Medicine | Carson Tahoe Regional Healthcare | 1600 Medical Pkwy, Carson City, NV 89703-4625 |
| Janani Kumaresan | Hospitalist | Jose A Aguirre Md PC | 1600 Medical Pkwy, Carson City, NV 89703-4625 |
| Reka P Danko | Internal Medicine | Jose A Aguirre Md PC | 1600 Medical Pkwy, Carson City, NV 89703-4625 |
| Sungjoon T Carlson | Physician Assistant | Carson Tahoe Regional Healthcare | 1600 Medical Pkwy, Carson City, NV 89703-4625 |
| Julie Westwood | Nurse Practitioner | Jose A Aguirre Md PC | 1600 Medical Pkwy, Carson City, NV 89703-4625 |
| Dinadelle Viola | Hospitalist | Jose A Aguirre Md PC | 1600 Medical Pkwy, Carson City, NV 89703-4625 |
| Maurice A Mayer | Emergency Medicine | Carson Tahoe Emergency Physicians | 1600 Medical Pkwy, Carson City, NV 89703-4625 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gail P Krivan | Physical Medicine and Rehabilitation | 1600 Med Pkwy, Carson City, NV 89703 | |
| Corinne Marie Holmes | Physical Therapy | Carson Physical Therapy, Inc. | 680 W Nye Ln, Suite 205, Carson City, NV 89703-1500 |
| Christina Marie Taylor | Physical Therapy | Carson Physical Therapy, Inc. | 680 W Nye Ln, Suite 205, Carson City, NV 89703-1500 |
| Martine G Hutton | Physical Therapy | Carson Physical Therapy, Inc. | 680 W Nye Ln, Suite 205, Carson City, NV 89703-1500 |
| Erin G Pasley | Physical Therapy | Carson Physical Therapy, Inc. | 680 W Nye Ln, Suite 205, Carson City, NV 89703-1500 |
| Melinda L Vicencio | Physical Therapy | Carson Physical Therapy, Inc. | 680 W Nye Ln, Carson City, NV 89703-1500 |
| Julie Irene Erb Lundergreen | Physical Therapy | Carson Physical Therapy, Inc. | 680 W Nye Ln, Suite 205, Carson City, NV 89703-1500 |
| Kent W Gabriel | Hand Surgery | 704 W Nye Ln, Suite 102, Carson City, NV 89703-1569 | |
| Nanci H Campbell | Qualified Audiologist | 844 W Nye Ln, Suite 203, Carson City, NV 89703-1570 | |
| Stephen Palazzolo | Optometry | 844 W Nye Ln, Suite 104, Carson City, NV 89703-1571 | |
| Find all physicians in zip 89703 | |||
| City | CARSON CITY |
| Zip Code | 89703 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | CARSON CITY + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on John S Edgcomb.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.