Kimberly A Evans (NPI# 1457518946, PAC ID# 5890926109) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1457518946 |
| PAC ID by PECOS | 5890926109 |
| Professional Enrollment ID | I20140331001487 |
| Full Name | Kimberly A Evans |
| Organization Legal Name | TAHOE CARSON VALLEY MEDICAL GROUP INC |
| Address |
1139 3rd St South Lake Tahoe CA 96150-3465 |
| Phone Number | 5305413100 |
| Gender | F |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 8426048158 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050352 | BARTON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1090 3rd St, South Lake Tahoe, CA 96150-3485 | 5305435660 | TAHOE CARSON VALLEY MEDICAL GROUP INC |
| 1139 3rd St, South Lake Tahoe, CA 96150-3465 | 5305413100 | TAHOE CARSON VALLEY MEDICAL GROUP INC |
| 2170 S Ave, South Lake Tahoe, CA 96150-7026 | 5305413420 | TAHOE CARSON VALLEY MEDICAL GROUP INC |
| Organization Legal Name | TAHOE CARSON VALLEY MEDICAL GROUP INC |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra J Taylor | General Surgery | Tahoe Carson Valley Medical Group Inc | 2158 Jean Ave, South Lake Tahoe, CA 96150-3412 |
| Danielle M Knowlton | Qualified Audiologist | Tahoe Carson Valley Medical Group Inc | 2169 S Ave, South Lake Tahoe, CA 96150-7059 |
| Megan Frances Jewell | Obstetrics/gynecology | Tahoe Carson Valley Medical Group Inc | 2175 S Ave, South Lake Tahoe, CA 96150-7024 |
| Ronald C Roth | Otolaryngology | Tahoe Carson Valley Medical Group Inc | 2170 S Ave, South Lake Tahoe, CA 96150-7026 |
| Stuart P Michelson | Emergency Medicine | Tahoe Carson Valley Medical Group Inc | 155 Hwy 50, Stateline, NV 89449-9816 |
| Stefan Ernest Schunk | Internal Medicine | Tahoe Carson Valley Medical Group Inc | 1090 3rd St, South Lake Tahoe, CA 96150-3485 |
| Amy P Smith | Nurse Practitioner | Tahoe Carson Valley Medical Group Inc | 1067 4th St, South Lake Tahoe, CA 96150-3459 |
| Eric J Ewald | Family Medicine | Tahoe Carson Valley Medical Group Inc | 155 Hwy 50, Stateline, NV 89449-9816 |
| Scott P Swanson | Internal Medicine | Tahoe Carson Valley Medical Group Inc | 155 Hwy 50, Stateline, NV 89449-9816 |
| Joseph E Hancock | Gastroenterology | Tahoe Carson Valley Medical Group Inc | 2170 S Ave, South Lake Tahoe, CA 96150-7026 |
| Street Address |
1139 3RD ST |
| City | SOUTH LAKE TAHOE |
| State | CA |
| Zip | 96150-3465 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana Marie Randall | Physician Assistant | Tahoe Orthopedics and Sports Medicine, Inc. | 1139 3rd St, South Lake Tahoe, CA 96150-3465 |
| Damian Xavier Garza | Physician Assistant | Tahoe Orthopedics and Sports Medicine, Inc. | 1139 3rd St, South Lake Tahoe, CA 96150-3465 |
| Zachary A Child | Orthopedic Surgery | Tahoe Orthopedics and Sports Medicine, Inc. | 1139 3rd St, South Lake Tahoe, CA 96150-3465 |
| Amy M Villaret | Physician Assistant | Tahoe Orthopedics and Sports Medicine, Inc. | 1139 3rd St, South Lake Tahoe, CA 96150-3465 |
| William R Shepard | General Surgery | Tahoe Carson Valley Medical Group Inc | 1139 3rd St, South Lake Tahoe, CA 96150-3465 |
| Gregory Paul Burkard Jr. | Physical Medicine and Rehabilitation | Tahoe Orthopedics and Sports Medicine, Inc. | 1139 3rd St, South Lake Tahoe, CA 96150-3465 |
| Jason Call | Physician Assistant | Tahoe Orthopedics and Sports Medicine, Inc. | 1139 3rd St, South Lake Tahoe, CA 96150-3465 |
| Rituparna Das | Neurology | Tahoe Carson Valley Medical Group Inc | 1139 3rd St, South Lake Tahoe, CA 96150-3465 |
| Lydia Obannon | Physician Assistant | Tahoe Orthopedics and Sports Medicine, Inc. | 1139 3rd St, South Lake Tahoe, CA 96150-3465 |
| Alison C Ganong | Physical Medicine and Rehabilitation | Tahoe Orthopedics and Sports Medicine, Inc. | 1139 3rd St, South Lake Tahoe, CA 96150-3465 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin-elizabeth Maccarry Davis | Chiropractic | 591 Tahoe Keys Blvd, Suite D3, South Lake Tahoe, CA 96150-3359 | |
| Patricia Ferraro | Podiatry | 2229 Barton Ave, South Lake Tahoe, CA 96150-3411 | |
| Christine C Dobrowolski | Podiatry | Lake Tahoe Podiatry A Professional Podiatric Corporation | 2229 Barton Ave, South Lake Tahoe, CA 96150-3411 |
| Sandra J Taylor | General Surgery | Tahoe Carson Valley Medical Group Inc | 2158 Jean Ave, South Lake Tahoe, CA 96150-3412 |
| Amy P Smith | Nurse Practitioner | Tahoe Carson Valley Medical Group Inc | 1067 4th St, South Lake Tahoe, CA 96150-3459 |
| Gregory W Bergner | Family Medicine | Tahoe Carson Valley Medical Group Inc | 1067 4th St, South Lake Tahoe, CA 96150-3459 |
| Daniel Todd Robertson | Hand Surgery | Tahoe Orthopedics and Sports Medicine, Inc. | 1139 3rd St, South Lake Tahoe, CA 96150-3465 |
| William H Cottrell Jr. | Orthopedic Surgery | Tahoe Orthopedics and Sports Medicine, Inc. | 1139 3rd St, South Lake Tahoe, CA 96150-3465 |
| Jeffrey A Orr | Orthopedic Surgery | Tahoe Orthopedics and Sports Medicine, Inc. | 1139 3rd St, South Lake Tahoe, CA 96150-3465 |
| Steven I Pancio Ii | Orthopedic Surgery | Tahoe Orthopedics and Sports Medicine, Inc. | 1139 3rd St, South Lake Tahoe, CA 96150-3465 |
| Find all physicians in zip 96150 | |||
| City | SOUTH LAKE TAHOE |
| Zip Code | 96150 |
| Specialty | GENERAL SURGERY |
| City + Specialty | SOUTH LAKE TAHOE + GENERAL SURGERY |
Please comment or provide details below to improve the information on Kimberly A Evans.
| 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.