Deane a Stites MD Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G31474 Issued in CA

Legal business name

DEANE A STITES MD INC

Practice address

10051 Lake Ave
Ste 3
Truckee, CA 96161-0445

Phone

(530) 587-7461

Fax

(530) 587-1149

NPI assigned

Nov 19, 2008

Organization subpart

No

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

Authorized official

Name

Deane A Stites

Title

President

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": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1114172079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10051 LAKE AVE",
            "address_2": "STE 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": "STE 3",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961610445",
            "telephone_number": "530-587-7461",
            "fax_number": "530-587-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEANE A STITES MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "STITES",
        "authorized_official_first_name": "DEANE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-587-7461"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G31474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200018214",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G374740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Hajar Darwish, MS, AMFT
• David E. Condon D.P.M.
• David G. Kitts, M.D., Inc
• Dale Michael Davis, RN CNOR RNFA
• Catherine Dawson, RN
• Joni Decarteret, RNFA
• Ellen Marie Dejong, MD
• Jacqueline Sanders Delaney, DMD
• Adrian L Delatorre, MD
• Tara Delloiacono Thies, RDN

• 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 Mar 4, 2010; 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.