CARSON TAHOE PHYSICIAN CLINICS (NPI# 1578893202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578893202 |
| Entity Type | Organization |
| Organization Name | CARSON TAHOE PHYSICIAN CLINICS |
| Practice Address |
901 Medical Center Dr Suite 102 Dayton NV 89403-7458 |
| Mailing Address |
2874 N Carson St Suite 200 Carson City NV 89706-0251 |
| Practice Telephone | 7754457621 |
| Practice Fax Number | 7752833091 |
| Mailing Telephone | 7752833096 |
| Mailing Fax Number | 7752833091 |
| Enumeration Date | 2009-12-31 |
| Last Update Date | 2010-02-02 |
| Authorized Official Name | YOLANDA ROMO (ADMINISTRATIVE ASSIST) |
| Authorized Official Telephone | 7752833096 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | MEDICARE PTAN | BQ020Z | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679853089 | Carson Tahoe Physician Clinics | Family Medicine | 1200 Moutain Street, Suite 220, Carson City, NV 89703 | 2011-08-17 |
| 1447568787 | Carson Tahoe Physician Clinics | Nurse Practitioner | 3770 Us Hwy 395 So, Carson City, NV 89705-6898 | 2010-09-21 |
| 1952686602 | Carson Tahoe Physician Clinics | Clinic/Center | 1201 S Carson Street, Carson City, NV 89701 | 2011-10-13 |
| 1013297423 | Carson Tahoe Physician Clinics | Clinic/Center | 3200 Market Street, Carson City, NV 89706-7984 | 2011-08-17 |
| 1578843983 | Carson Tahoe Physician Clinics | Psychiatry & Neurology | 775 Fleischmann Way, Carson City, NV 89706 | 2011-08-17 |
| 1518267301 | Carson Tahoe Physician Clinics | Family Medicine | 925 Ironwood Dr, Suite 2103, Minden, NV 89423-5178 | 2010-10-26 |
| 1780997726 | Carson Tahoe Physician Clinics | Internal Medicine | 925 Ironwood Dr, Suite 2107, Minden, NV 89423-5178 | 2010-07-20 |
| 1659695005 | Carson Tahoe Physician Clinics | Internal Medicine | 1535 Medical Parkway, Suite B, Carson City, NV 89703-4367 | 2010-03-15 |
| 1679897037 | Carson Tahoe Physician Clinics | Internal Medicine | 925 Ironwood Drive, Suite 2107, Minden, NV 89423-5180 | 2010-03-15 |
| 1588895874 | Carson Tahoe Physician Clinics | Internal Medicine | 925 Ironwood Dr, #2108, Minden, NV 89423-5178 | 2009-08-04 |
| Street Address |
901 MEDICAL CENTER DR SUITE 102 |
| City | DAYTON |
| State | NV |
| Zip Code | 89403-7458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952951352 | Carson Tahoe Regional Healthcare | Clinic/Center | 901 Medical Center Dr, Dayton, NV 89403-7458 | 2019-09-17 |
| 1124558853 | Stephen Frugoli | Dentist | 901 Medical Center Dr, Dayton, NV 89403-7458 | 2017-06-15 |
| 1235409939 | Carson Tahoe Urgent Care | Clinic/Center | 901 Medical Center Dr, Suite 101, Dayton, NV 89403-7458 | 2012-01-11 |
| 1104000140 | California Advanced Imaging Medical Associates, Inc. | Radiology | 901 Medical Center Dr, Dayton, NV 89403-7456 | 2007-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023490794 | Central Lyon Youth Connections | Community/Behavioral Health | 170 Pike Street, Dayton, NV 89403 | 2015-06-18 |
| 1023447232 | Cameryn Maegen Garmire | Community Health Worker | 1005 Dwight Way, Dayton, NV 89403 | 2013-11-07 |
| 1194959262 | Reno Vet Center | Community/Behavioral Health | 1155 W. 4th St., #101, Reno, NV 89403 | 2009-05-05 |
| 1558505339 | Ann L. Steinberg D.c. P.C. | Chiropractor | 655 Hwy 50 E, Suite C, Dayton, NV 89403 | 2009-04-24 |
| 1386711133 | Caring Partners Inc | Home Health | 42 Wells Fargo Ave, Dayton, NV 89403 | 2006-11-29 |
| 1013020973 | Tracy L West-stallard | Occupational Therapist | 5 Pinecone Drive, Suite 100, Dayton, NV 89403 | 2006-08-16 |
| 1992723357 | Douglas D. Karwoski | Dentist | 901 Medical Center Dr., Suite 200, Dayton, NV 89403 | 2006-07-17 |
| 1740732221 | Rural Nevada Counseling Rnc | Counselor | 120 Pike St, Dayton, NV 89403 | 2016-10-31 |
| 1154705101 | Honeylette Mojica Brotonel | Family Medicine | 901 Medical Center Dr Ste 102, Dayton, NV 89403 | 2015-07-18 |
| 1497987515 | Nevada State Health Division | Public Health or Welfare | 34 Lakes Blvd, Suite 101, Dayton, NV 89403 | 2009-08-24 |
| Find all providers in zip 89403 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831662105 | Michele L. Flack, D.o., LLC | Internal Medicine | 3718 Whisper Creek Dr, Dayton, OH 45414-2570 | 2019-01-09 |
| 1851755623 | Yousef B. A. Mohamed | Internal Medicine | South Dayton Acute Care Consultants, Inc, 33 W Rahn Rd, Dayton, OH 45429-2219 | 2016-04-07 |
| 1427420256 | Hospitalist Md Inc | Internal Medicine | 10708 Falls Creek Ln, Dayton, OH 45458-6062 | 2015-10-20 |
| 1811316565 | Eric Kirby | Internal Medicine | 30 E Apple St # 3300, Dayton, OH 45409-2939 | 2014-04-09 |
| 1619394665 | Mohammad M Losta | Internal Medicine | 2200 Philadelphia Dr Ste 441, Dayton, OH 45406-1840 | 2014-03-27 |
| 1316378003 | Barrett Henry Bolton | Internal Medicine | 1608 Catalpa Dr, Dayton, OH 45406-5946 | 2013-12-05 |
| 1609215276 | Derrick Scott Porter | Internal Medicine | 2300 Miami Valley Dr Ste 310, Dayton, OH 45459-1294 | 2013-06-17 |
| 1295026607 | David Dukhyun Moh | Internal Medicine | 9251 Great Lakes Cir, Dayton, OH 45458-3677 | 2011-04-20 |
| 1831495266 | Kenechi Anikwe Obetta | Internal Medicine | 4750 30 E Apple St, Suite 6250, Dayton, OH 45409-2939 | 2011-02-02 |
| 1477870178 | Charles William Oberer IIi | Internal Medicine | 425 W Grand Ave Ste 2002, Dayton, OH 45405-4722 | 2010-04-21 |
| Find all providers in DAYTON | ||||
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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.