Jeffrey S Fountain (NPI# 1245420447, PAC ID# 7517141377) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1245420447 |
| PAC ID by PECOS | 7517141377 |
| Professional Enrollment ID | I20120530000222 |
| Full Name | Jeffrey S Fountain |
| Organization Legal Name | NORTH TAHOE RADIOLOGY MEDICAL GROUP INC |
| Address |
10121 Pine Ave Truckee CA 96161-4835 |
| Phone Number | 5305876011 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4082718622 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 051328 | TAHOE FOREST HOSPITAL |
| 291301 | INCLINE VILLAGE HEALTH CENTER |
| 050108 | SUTTER MEDICAL CENTER, SACRAMENTO |
| 050309 | SUTTER ROSEVILLE MEDICAL CENTER |
| 050498 | SUTTER AUBURN FAITH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3123 Professional Dr, Suite 100, Auburn, CA 95603-2400 | 5308888878 | SUTTER VALLEY MEDICAL FOUNDATION |
| 6620 Coyle Ave, Carmichael, CA 95608-6336 | SUTTER VALLEY MEDICAL FOUNDATION | |
| 8170 Laguna Blvd, Elk Grove, CA 95758-7902 | SUTTER VALLEY MEDICAL FOUNDATION | |
| 1655 Creekside Dr, Folsom, CA 95630-3489 | 9169840739 | SUTTER VALLEY MEDICAL FOUNDATION |
| 1661 Creekside Dr, Folsom, CA 95630-3489 | 9169840739 | SUTTER VALLEY MEDICAL FOUNDATION |
| 880 Alder Ave, Incline Village, NV 89451-8335 | 7558334100 | NORTH TAHOE RADIOLOGY MEDICAL GROUP INC |
| 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 9164546868 | SUTTER VALLEY MEDICAL FOUNDATION |
| 1680 E Roseville Pkwy, Suite 100, Roseville, CA 95661-3988 | 9167838114 | SUTTER VALLEY MEDICAL FOUNDATION |
| 3 Medical Plaza Dr, Roseville, CA 95661-3088 | SUTTER VALLEY MEDICAL FOUNDATION | |
| 2725 Capitol Ave, Sacramento, CA 95816-6004 | 9162629386 | SUTTER VALLEY MEDICAL FOUNDATION |
| 2800 L St, Sacramento, CA 95816-5616 | SUTTER VALLEY MEDICAL FOUNDATION | |
| 3161 L St, Sacramento, CA 95816-5234 | 9164539999 | SUTTER VALLEY MEDICAL FOUNDATION |
| 10121 Pine Ave, Truckee, CA 96161-4835 | 5305876011 | NORTH TAHOE RADIOLOGY MEDICAL GROUP INC |
| 400 Plumas Blvd, Suite 200, Yuba City, CA 95991-5081 | 5307495560 | SUTTER VALLEY MEDICAL FOUNDATION |
| 440 Plumas Blvd, Yuba City, CA 95991-5071 | 5307493409 | SUTTER VALLEY MEDICAL FOUNDATION |
| 444 Plumas Blvd, Yuba City, CA 95991-5071 | 5307493420 | SUTTER VALLEY MEDICAL FOUNDATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_147_overall | Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy | 26% | |
| MIPS_EC_147_overall | Nuclear Medicine: Correlation with Existing Imaging Studies for All Patients Undergoing Bone Scintigraphy | 26% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 91% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 91% |
| Organization Legal Name | NORTH TAHOE RADIOLOGY MEDICAL GROUP INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James F Schlund | Diagnostic Radiology | North Tahoe Radiology Medical Group Inc | 10121 Pine Ave, Truckee, CA 96161-4835 |
| Myron L Kamenetsky | Diagnostic Radiology | North Tahoe Radiology Medical Group Inc | 10121 Pine Ave, Truckee, CA 96161-4835 |
| Thaddeus A Laird | Diagnostic Radiology | North Tahoe Radiology Medical Group Inc | 880 Alder Ave, Incline Village, NV 89451-8335 |
| Street Address |
10121 PINE AVE |
| City | TRUCKEE |
| State | CA |
| Zip | 96161-4835 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellen Cooper | General Surgery | Tahoe Forest Hospital District | 10121 Pine Ave, Truckee, CA 96161-4835 |
| John Stanec | Anesthesiology | Thomas Specht Alpert and Saaremets Bradley Thomas Gen Ptr | 10121 Pine Ave, Truckee, CA 96161-4835 |
| Aaron C Gladman | Emergency Medicine | Cep America - California | 10121 Pine Ave, Truckee, CA 96161-4835 |
| Lisanne R Burkholder | Internal Medicine | Tahoe Forest Hospital District | 10121 Pine Ave, Truckee, CA 96161-4835 |
| James F Schlund | Diagnostic Radiology | North Tahoe Radiology Medical Group Inc | 10121 Pine Ave, Truckee, CA 96161-4835 |
| 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 |
| Martin Rosengreen | Emergency Medicine | Cep America - California | 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 |
| Find all physicians in the same address | |||
| 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 | DIAGNOSTIC RADIOLOGY |
| City + Specialty | TRUCKEE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jeffrey S Fountain.
| 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.