Tahoe Fracture and Orthopedic Medical Clinic, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TAHOE FRACTURE AND ORTHOPEDIC MEDICAL CLINIC, INC.

Practice address

1520 Virginia Ranch Rd
Suite 101B
Gardnerville, NV 89410-5731

Phone

(775) 782-2442

Fax

(775) 783-6199

NPI assigned

Sep 19, 2012

Organization subpart

No

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

Authorized official

Name

David A Jones, MD

Title

Physician/Partner

Phone

(775) 783-6190

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1023368883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 MICA DR",
            "address_2": "SUITE 201",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897057255",
            "telephone_number": "775-783-6190",
            "fax_number": "775-783-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 VIRGINIA RANCH RD",
            "address_2": "SUITE 101B",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105731",
            "telephone_number": "775-782-2442",
            "fax_number": "775-783-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHOE FRACTURE AND ORTHOPEDIC MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/PARTNER",
        "authorized_official_telephone_number": "775-783-6190",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Marie Stevenson, MD
• Robert William Stone, CADC
• Daniel Wade Stratton, PHARMD
• Elspeth Summersgill
• Heidi Inga-Britt Sundquist, OTR/L
• Tahoe Youth and Family Services
• Edward M Tapper, M.D.
• Cynthia Suzanne Tarantino-Fernandez, MSW, LCSW
• Mary Teachout, MPA, CPC, NCC
• Caren Tegantvoort

• Durable Medical Equipment & Medical Supplies in Gardnerville, NV
• Providers in Gardnerville, NV by specialty
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.