Samantha Brooks Smith (NPI# 1972735751, PAC ID# 2466584347) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1972735751 |
| PAC ID by PECOS | 2466584347 |
| Professional Enrollment ID | I20140607000221 |
| Full Name | Samantha Brooks Smith |
| Organization Legal Name | TAHOE FOREST HOSPITAL DISTRICT |
| Address |
10175 Levon Ave Truckee CA 96161-4821 |
| Phone Number | 5305871041 |
| Gender | F |
| Medical School | UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0446161335 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 051328 | TAHOE FOREST HOSPITAL |
| 051300 | EASTERN PLUMAS HOSPITAL - PORTOLA CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 10051 Lake Ave, Suite 3, Truckee, CA 96161-4870 | 5305877461 | TAHOE FOREST HOSPITAL DISTRICT |
| 10051 Lake Ave, Truckee, CA 96161-4870 | 5305877461 | TAHOE FOREST HOSPITAL DISTRICT |
| 10175 Levon Ave, Truckee, CA 96161-4821 | 5305871041 | TAHOE FOREST HOSPITAL DISTRICT |
| 10956 Donner Pass Rd, Truckee, CA 96161-4862 | 5305823277 | TAHOE FOREST HOSPITAL DISTRICT |
| 10956 Donner Pass Rd, Suite 340, Truckee, CA 96161-4885 | 5305828300 | TAHOE FOREST HOSPITAL DISTRICT |
| 10956 Donner Pass Rd, Suite 230, Truckee, CA 96161-4862 | 5305823277 | TAHOE FOREST HOSPITAL DISTRICT |
| 10956 Donner Pass Rd, Truckee, CA 96161-4885 | 5305828300 | TAHOE FOREST HOSPITAL DISTRICT |
| Organization Legal Name | TAHOE FOREST HOSPITAL DISTRICT |
| Physicians | 35 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellen Cooper | General Surgery | Tahoe Forest Hospital District | 10121 Pine Ave, Truckee, CA 96161-4835 |
| Steven A Thompson | Obstetrics/gynecology | Tahoe Forest Hospital District | 10175 Levone Ave, Truckee, CA 96161-4821 |
| Jeffrey S Dodd | Orthopedic Surgery | Tahoe Forest Hospital District | 10051 Lake Ave, Suite 3, Truckee, CA 96161-4870 |
| Lisanne R Burkholder | Internal Medicine | Tahoe Forest Hospital District | 10121 Pine Ave, Truckee, CA 96161-4835 |
| Cara A Streit | Obstetrics/gynecology | Tahoe Forest Hospital District | 10175 Levone Ave, Truckee, CA 96161-4821 |
| Ahrin B Koppel | Hematology/oncology | Tahoe Forest Hospital District | 10121 Pine Ave, Truckee, CA 96161-4835 |
| Tatiana W Fields | Physician Assistant | Tahoe Forest Hospital District | 10121 Pine Ave, Truckee, CA 96161-4835 |
| Mark A Wainstein | Urology | Tahoe Forest Hospital District | 10121 Pine Ave, Truckee, CA 96161-4835 |
| Reini Anna Jensen | Family Medicine | Tahoe Forest Hospital District | 10121 Pine Ave, Truckee, CA 96161-4835 |
| Daniel G Buchanan | Physician Assistant | Tahoe Forest Hospital District | 10121 Pine Ave, Truckee, CA 96161-4835 |
| Street Address |
10175 LEVON AVE |
| City | TRUCKEE |
| State | CA |
| Zip | 96161-4821 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janet A Brooks | Nurse Practitioner | Steven A Thompson Md and Peter J Taylor Md | 10175 Levon Ave, Truckee, CA 96161-4821 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory J Booth | Physical Therapy | 10775 Pioneer Trl, Suite 106, Truckee, CA 96161-0233 | |
| Barry M Triestman | Chiropractic | 11464 E Ridge Rd, Truckee, CA 96161-1716 | |
| Dianne C Kamenetsky | Dermatology | 10870 Brockway Rd, Truckee, CA 96161-2054 | |
| Damon M Brown | Chiropractic | 10250 Donner Pass Rd, Suite 2, Truckee, CA 96161-2329 | |
| Stacy Stahl | Clinical Social Worker | 12242 Business Park Dr, Suite 1, Truckee, CA 96161-3303 | |
| Anita L Spencer | Clinical Psychologist | 12242 Business Park Dr, Truckee, CA 96161-3327 | |
| Joshua P Dubansky | Emergency Medicine | California Emergency Physicians Medical Group A Professional Corp | 2104 N Village Dr, Suite L, Truckee, CA 96161-4312 |
| Christian Purgason | Emergency Medicine | California Emergency Physicians Medical Group A Professional Corp | 2104 N Village Dr, Suite L, Truckee, CA 96161-4312 |
| Eric R Stendell Jr. | Emergency Medicine | California Emergency Physicians Medical Group A Professional Corp | 2104 N Village Dr, Suite L, Truckee, CA 96161-4312 |
| Casey Jowers | Emergency Medicine | California Emergency Physicians Medical Group A Professional Corp | 2104 N Village Dr, Suite L, Truckee, CA 96161-4312 |
| Find all physicians in zip 96161 | |||
| City | TRUCKEE |
| Zip Code | 96161 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | TRUCKEE + PHYSICIAN ASSISTANT |
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| 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.