North Tahoe Orthopedics

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A81163 Issued in CA

Legal business name

NORTH TAHOE ORTHOPEDICS

Practice address

10051 Lake Ave
Suite 3
Truckee, CA 96161-0445

Phone

(530) 587-7461

Fax

(530) 587-1149

NPI assigned

Dec 8, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laura Ann Small

Title

Office Manager

Phone

(530) 587-7461

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1023311305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10051 LAKE AVE",
            "address_2": "SUITE 3",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610445",
            "telephone_number": "530-587-7461",
            "fax_number": "530-587-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10051 LAKE AVE",
            "address_2": "SUITE 3",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610445",
            "telephone_number": "530-587-7461",
            "fax_number": "530-587-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TAHOE ORTHOPEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "530-587-7461"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A81163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMEPOS PTAN",
            "identifier": "6530720001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "EM658A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mai Phuong Thuy Nguyen, MD
• Eric Nickel
• Darcy Dean Norman, PT, ATC, CSCS
• Joseph Norris, BOCO
• North Lake Pediatrics Medical Group, Inc.
• North Tahoe Radiology Medical Group Inc
• Allison Lindsey O'Brien, PA-C
• Kristin O'Connor, LCSW
• Antoinette Eva Oberriter, PHARMD
• Christopher Coffin Old, EDS, LPC, NCC, MFT

• Orthopaedic Surgery Physician in Truckee, CA
• Providers in Truckee, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.