CARSON TAHOE EMERGENCY PHYSICIANS (NPI# 1396822821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396822821 |
| Entity Type | Organization |
| Organization Name | CARSON TAHOE EMERGENCY PHYSICIANS |
| Practice Address |
1600 Medical Pkwy Carson City NV 89703-4625 |
| Practice Telephone | 7754458005 |
| Practice Fax Number | 7758883229 |
| Mailing Telephone | 7754458005 |
| Mailing Fax Number | 7758883229 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2010-04-15 |
| Authorized Official Name | DAVID J STRULL (MANAGING PARTNER PRESIDENT) |
| Authorized Official Telephone | 7754458005 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
06-00889 | NV | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | RAILROAD | CJ9488 | 01 |
| NV | 201317500 | 05 | |
| NV | BC/BS | NV4592 | 01 |
| Street Address |
1600 MEDICAL PKWY |
| City | CARSON CITY |
| State | NV |
| Zip Code | 89703-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316943913 | Stephen Lane Perry | Internal Medicine | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2005-06-28 |
| 1679194187 | Cheryl Gallio | Dietitian, Registered | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2020-05-06 |
| 1275154171 | Cristina Mosqueda | Registered Nurse | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2020-05-01 |
| 1821619727 | Danielle Dyan Burian | Nurse Practitioner | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2020-05-01 |
| 1538780424 | Valerie R Jakubos | Nurse Practitioner | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2020-05-01 |
| 1548805708 | Chelsea Minifie | Dietitian, Registered | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2019-11-12 |
| 1053955047 | Bethany Adams | Registered Nurse | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2019-11-01 |
| 1104484138 | Hillary Lawson | Dietitian, Registered | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2019-06-04 |
| 1396300042 | Bridget Henderson | Dietitian, Registered | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2019-05-08 |
| 1124598818 | Julie Westwood | Nurse Practitioner | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2018-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487215232 | Madison M Gurries | Audiologist | 1493 Medical Parkway, Carson City, NV 89703 | 2019-06-24 |
| 1609332949 | Tsl Skyline Estates, LLC | Assisted Living Facility | 2705 Mountain St., Carson City, NV 89703 | 2019-02-12 |
| 1790252120 | Reno Orthopaedic Clinic Inc. | Physical Therapist | 1365 Medical Parkway, Carson City, NV 89703 | 2018-10-24 |
| 1265910970 | Marvel Dental Carson City, LLC | Clinic/Center | 410 Fleischmann Way Suite A., Carson City, NV 89703 | 2018-08-03 |
| 1619348489 | Nevada Health Centers Inc. | Clinic/Center | 618 W. Musser Street, Carson City, NV 89703 | 2015-10-19 |
| 1518351089 | Christopher Vlasek | Family Medicine | 412 W John St Ste B, Carson City, NV 89703 | 2015-03-23 |
| 1902215254 | Grant Vaughn Davis | Behavioral Analyst | 1316 Monte Rosa Drive, Carson City, NV 89703 | 2014-08-11 |
| 1437563152 | Nina Patynowski | Nurse Practitioner | 415 W Sofia St, Ste 100, Carson City, NV 89703 | 2014-06-20 |
| 1679853089 | Carson Tahoe Physician Clinics | Family Medicine | 1200 Moutain Street, Suite 220, Carson City, NV 89703 | 2011-08-17 |
| 1790094076 | Darlene Parrish | Occupational Therapy Assistant | 3050 N. Ormsby Bl, Carson City, NV 89703 | 2010-10-04 |
| Find all providers in zip 89703 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225457955 | Andrew Doering | Emergency Medicine | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2014-04-09 |
| 1013195296 | Sara M Ream | Emergency Medicine | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2008-02-10 |
| 1669669990 | Bryan L. Ricks, M.d. | Emergency Medicine | 2874 N Carson St, Suite 135, Carson City, NV 89706-0177 | 2007-10-01 |
| 1023236692 | Pacharin Noraseat | Emergency Medicine | 1201 S Carson Street, Suite 1104, Carson City, NV 89701 | 2007-04-20 |
| 1194802405 | Maurice A. Mayer | Emergency Medicine | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2006-11-01 |
| 1033296371 | Cynthia Novak | Emergency Medicine | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2006-11-01 |
| 1407933666 | David J. Strull | Emergency Medicine | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2006-11-01 |
| 1841377173 | George B. Nickles | Emergency Medicine | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2006-11-01 |
| 1417034760 | Kerry W. Novak | Emergency Medicine | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2006-11-01 |
| 1881771251 | John S. Edgcomb | Emergency Medicine | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2006-11-01 |
| Find all providers in CARSON CITY | ||||
| City | CARSON CITY |
| Zip Code | 89703 |
Please comment or provide details below to improve the information on CARSON TAHOE EMERGENCY PHYSICIANS.
| 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.