Pamela K Smith (NPI# 1942376017, PAC ID# 6709822794) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1942376017 |
| PAC ID by PECOS | 6709822794 |
| Professional Enrollment ID | I20131011001170 |
| Full Name | Pamela K Smith |
| Organization Legal Name | TAHOE FRACTURE AND ORTHOPEDIC MEDICAL CLINIC INC |
| Address |
1520 Virginia Ranch Rd Suite 101b Gardnerville NV 89410-5731 |
| Phone Number | 7757836190 |
| Gender | F |
| Credential | PA |
| Graduation Year | 1983 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 8628979267 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 290019 | CARSON TAHOE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 973 Mica Dr, Suite 201, Carson City, NV 89705-7258 | 7757836190 | TAHOE FRACTURE AND ORTHOPEDIC MEDICAL CLINIC INC |
| 1520 Virginia Ranch Rd, Suite 101b, Gardnerville, NV 89410-5731 | 7757836190 | TAHOE FRACTURE AND ORTHOPEDIC MEDICAL CLINIC INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | TAHOE FRACTURE AND ORTHOPEDIC MEDICAL CLINIC INC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tamara Mukete | Physical Therapy | Tahoe Fracture and Orthopedic Medical Clinic Inc | 1749 N Stewart St, Carson City, NV 89706-2688 |
| Jeromy David Dyer | Physician Assistant | Tahoe Fracture and Orthopedic Medical Clinic Inc | 1520 Virginia Ranch Rd, Suite 101b, Gardnerville, NV 89410-5731 |
| James H Sullivan | Anesthesiology | Tahoe Fracture and Orthopedic Medical Clinic Inc | 973 Mica Dr, Suite 201, Carson City, NV 89705-7258 |
| Ashten Howard | Physician Assistant | Tahoe Fracture and Orthopedic Medical Clinic Inc | 1520 Virginia Ranch Rd, Suite 101b, Gardnerville, NV 89410-5731 |
| Paul J Fry Iii | Orthopedic Surgery | Tahoe Fracture and Orthopedic Medical Clinic Inc | 1520 Virginia Ranch Rd, Suite 101b, Gardnerville, NV 89410-5731 |
| Marco C Mendoza | Orthopedic Surgery | Tahoe Fracture and Orthopedic Medical Clinic Inc | 973 Mica Dr, Suite 201, Carson City, NV 89705-7258 |
| Elli Rinaldi | Physical Therapy | Tahoe Fracture and Orthopedic Medical Clinic Inc | 1749 N Stewart St, Carson City, NV 89706-2688 |
| Candace L Camelon | Nurse Practitioner | Tahoe Fracture and Orthopedic Medical Clinic Inc | 1520 Virginia Ranch Rd, Suite 101b, Gardnerville, NV 89410-5731 |
| Mallory H Cushner | Nurse Practitioner | Tahoe Fracture and Orthopedic Medical Clinic Inc | 973 Mica Dr, Suite 201, Carson City, NV 89705-7258 |
| Aaron Michael Zagrodnik | Physical Therapy | Tahoe Fracture and Orthopedic Medical Clinic Inc | 1749 N Stewart St, Carson City, NV 89706-2688 |
| Street Address |
1520 VIRGINIA RANCH RD SUITE 101B |
| City | GARDNERVILLE |
| State | NV |
| Zip | 89410-5731 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeromy David Dyer | Physician Assistant | Tahoe Fracture and Orthopedic Medical Clinic Inc | 1520 Virginia Ranch Rd, Suite 101b, Gardnerville, NV 89410-5731 |
| Alfred Phillips | Emergency Medicine | Carson Valley Medical Center Rural Health Clinic | 1520 Virginia Ranch Rd, Gardnerville, NV 89410-5731 |
| Ashten Howard | Physician Assistant | Tahoe Fracture and Orthopedic Medical Clinic Inc | 1520 Virginia Ranch Rd, Suite 101b, Gardnerville, NV 89410-5731 |
| Paul D Manoukian | Otolaryngology | Sierra Nevada Ent Associates Ltd | 1520 Virginia Ranch Rd, Suite 103, Gardnerville, NV 89410-5731 |
| Scott Wilson Southard | Orthopedic Surgery | Scott W Southard Md Inc | 1520 Virginia Ranch Rd, 1b, Gardnerville, NV 89410-5732 |
| Kenneth Gibb | Emergency Medicine | Carson Valley Medical Center Rural Health Clinic | 1520 Virginia Ranch Rd, Gardnerville, NV 89410-5731 |
| Glenn R Thorp | Internal Medicine | Carson Valley Medical Center Rural Health Clinic | 1520 Virginia Ranch Rd, Gardnerville, NV 89410-5731 |
| Paul J Fry Iii | Orthopedic Surgery | Tahoe Fracture and Orthopedic Medical Clinic Inc | 1520 Virginia Ranch Rd, Suite 101b, Gardnerville, NV 89410-5731 |
| Candace L Camelon | Nurse Practitioner | Tahoe Fracture and Orthopedic Medical Clinic Inc | 1520 Virginia Ranch Rd, Suite 101b, Gardnerville, NV 89410-5731 |
| Catherine Anne Fuller | Nurse Practitioner | Carson Valley Medical Center Rural Health Clinic | 1520 Virginia Ranch Rd, Gardnerville, NV 89410-5731 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret A Dixon | Psychologist, Clinical | 1462 Us Hwy 395 N, Gardnerville, NV 89410-5203 | |
| Cynthia Marlena Thorp | Psychologist, Clinical | 1462 Us Hwy 395 N, Gardnerville, NV 89410-5203 | |
| Donald H Miner | Chiropractic | 1540 Hwy 395 N, Suite 3, Gardnerville, NV 89410-5224 | |
| Christopher Blaha | Chiropractic | 1516 Us Hwy 395 N, Suite C, Gardnerville, NV 89410-5232 | |
| Marc C Young | Podiatry | 1422 Mission St, Gardnerville, NV 89410-5239 | |
| Heber W Becker Iii | Anesthesiology | Pickert Medical Group, P.C. | 1107 Us Hwy 395 N, Gardnerville, NV 89410-5304 |
| Brett E Winthrop | Anesthesiology | Pickert Medical Group, P.C. | 1107 Us Hwy 395 N, Gardnerville, NV 89410-5304 |
| Baghdassar P Baghdikian | Anesthesiology | South Tahoe Anesthesia Medical Group | 1107 Us Hwy 395 N, Gardnerville, NV 89410-5304 |
| Dirk G Fletcher | Anesthesiology | Pickert Medical Group, P.C. | 1107 Us Hwy 395 N, Gardnerville, NV 89410-5304 |
| Daniel A Hansen | Anesthesiology | Pickert Medical Group, P.C. | 1107 Us Hwy 395 N, Gardnerville, NV 89410-5304 |
| Find all physicians in zip 89410 | |||
| City | GARDNERVILLE |
| Zip Code | 89410 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GARDNERVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Pamela K Smith.
| 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.