DR. WILLIAM B KRISSOFF (NPI# 1245346790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245346790 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM B KRISSOFF |
| Credential | MD |
| Practice Address |
10051 Lake Ave Suite 4 Truckee CA 96161-4825 |
| Practice Telephone | 5305820202 |
| Practice Fax Number | 5305820206 |
| Mailing Telephone | 5305820202 |
| Mailing Fax Number | 5305820206 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | G26823 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
10051 LAKE AVE SUITE 4 |
| City | TRUCKEE |
| State | CA |
| Zip Code | 96161-4825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366450264 | Jeffrey Scott Dodd | Orthopaedic Surgery | 10051 Lake Ave, Suite 3, Truckee, CA 96161 | 2006-08-04 |
| 1194188854 | Tahoe Forest Hospital District | Psychiatry & Neurology | 10051 Lake Ave, Truckee, CA 96161 | 2016-03-31 |
| 1659739878 | Joseph Norris | Orthotist | 10051 Lake Ave, Truckee, CA 96161-0445 | 2016-02-02 |
| 1578920799 | Sole Innovations | Orthotist | 10051 Lake Ave, Truckee, CA 96161-0445 | 2016-01-19 |
| 1023311305 | North Tahoe Orthopedics | Orthopaedic Surgery | 10051 Lake Ave, Suite 3, Truckee, CA 96161-0445 | 2010-12-08 |
| 1114172079 | Deane A Stites Md Inc | Orthopaedic Surgery | 10051 Lake Ave, Ste 3, Truckee, CA 96161-0445 | 2008-11-19 |
| 1699966358 | Jeffrey Dodd Md A Professional Corporation | Durable Medical Equipment & Medical Supplies | 10051 Lake Ave, Suite 3, Truckee, CA 96161-4825 | 2007-08-07 |
| 1215035621 | James G. Fischer | Orthopaedic Surgery | 10051 Lake Ave, Ste 3, Truckee, CA 96161 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558716175 | Elevation Chiropractic Dr Michael Colpitts Dc Inc | Chiropractor | 11425 Donner Pass Road, Suite 12a, Truckee, CA 96161 | 2016-05-02 |
| 1215365218 | California Emergency Physicians Medical Group, A Professional Corp | Emergency Medicine | 2104 N. Village Drive, Suite L, Truckee, CA 96161 | 2013-10-29 |
| 1336433838 | Richard Walter Lutz | General Practice | 6123 Rocky Point Circle, Truckee, CA 96161 | 2011-06-02 |
| 1528395779 | Sharon Mayo | Doula | 11335 Alder Drive, Truckee, CA 96161 | 2009-11-09 |
| 1598098139 | Ryan Michael Solberg | Orthotic Fitter | 10361 Estates Drive, Truckee, CA 96161 | 2009-09-15 |
| 1538392972 | Peggie J Wiseman | Social Worker | 10356 Donner Pass Rd., Turckee, CA 96161 | 2009-09-02 |
| 1033382031 | Polly M Ryan | Marriage & Family Therapist | 10956 Denner Pass Rd, Ste 360, Truckee, CA 96161 | 2008-04-10 |
| 1275721920 | Zoe K Cahill | Massage Therapist | 10116 Jibboom St, Truckee, CA 96161 | 2007-10-09 |
| 1285828335 | Cathy Joan Taylor | Chiropractor | 12068-b Donner Pass Road, Truckee, CA 96161 | 2007-08-31 |
| 1952439887 | Tyson Sumner Lechner | Dentist | 11075 Donner Pass Rd, Truckee, CA 96161 | 2007-03-01 |
| Find all providers in zip 96161 | ||||
| Taxonomy Code | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154489904 | Diana Maria Accinelli | Neuromusculoskeletal Medicine, Sports Medicine | 10986 Mougle Lane, Truckee, CA 96161-0510 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114531837 | Resham Macfarlane | Neuromusculoskeletal Medicine, Sports Medicine | 3025 Dana St, Berkeley, CA 94705-2041 | 2020-08-31 |
| 1578065934 | Shae Nicole Morgan | Neuromusculoskeletal Medicine, Sports Medicine | 12891 Indiana Ave Unit 41, Riverside, CA 92503-4679 | 2018-03-01 |
| 1578843793 | Krista Senness Lund | Neuromusculoskeletal Medicine, Sports Medicine | 120 N Clovis Ave Bldg 65, Clovis, CA 93612-0303 | 2011-08-18 |
| 1851697809 | William James Meecham | Neuromusculoskeletal Medicine, Sports Medicine | 4280 Redwood Hwy Ste 4, San Rafael, CA 94903-2600 | 2011-02-08 |
| 1689980534 | Avon Day Manney | Neuromusculoskeletal Medicine, Sports Medicine | 5737 Thornhill Dr Ste 207b, Oakland, CA 94611-2144 | 2010-08-28 |
| 1104153113 | Orange County Medical Group, Inc. | Neuromusculoskeletal Medicine, Sports Medicine | 1211 W La Palma Ave Ste 709, Anaheim, CA 92801-2814 | 2009-11-11 |
| 1750614343 | Westwood Neurodiagnostic Center | Neuromusculoskeletal Medicine, Sports Medicine | 11022 Santa Monica Blvd Ste 310, Los Angeles, CA 90025-7558 | 2009-09-14 |
| 1922295344 | Wilshire Neuro-diagnostics | Neuromusculoskeletal Medicine, Sports Medicine | 237 S La Cienega Blvd, Beverly Hills, CA 90211-3301 | 2007-09-30 |
| 1699972042 | Giang-tuyet Nguyen Lam | Neuromusculoskeletal Medicine, Sports Medicine | 26001 Redlands Blvd, Physical Medicine Department, Redlands, CA 92373 | 2007-06-29 |
| 1760684757 | Carter Harrison Sigmon | Neuromusculoskeletal Medicine, Sports Medicine | 16089 San Dieguito Rd, H102, Rancho Santa Fe, CA 92067 | 2007-06-03 |
| Find all providers with the same taxonomy | ||||
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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.