Organization Active NPI

Ronald M Gemberling MD Inc

  • Plastic Surgery Physician
  • South Lake Tahoe, CA
National Provider Identifier
1225292725
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A26040 Issued in CA
Legal business name
RONALD M GEMBERLING MD INC
Practice address
2209 South Ave
Suite D
South Lake Tahoe, CA 96150-7037
Phone
(530) 544-7744
Fax
(530) 544-5593
NPI assigned
Jul 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Dr. Ronald Mark Gemberling, MD
Title
Physician
Phone
(530) 544-7744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X A26040 CA Primary

Addresses

Primary practice location

2209 South Ave
Suite D
South Lake Tahoe, CA 96150-7037

Mailing address

2209 South Ave
Suite D
South Lake Tahoe, CA 96150-7037
Phone (530) 544-7744

National Provider Directory

National Provider Directory

Locations

2209 South Ave
Ste D
South Lake Tahoe, CA 96150
Phone (530) 544-7744

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1225292725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 SOUTH AVE",
            "address_2": "SUITE D",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507037",
            "telephone_number": "530-544-7744",
            "fax_number": "530-544-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 SOUTH AVE",
            "address_2": "SUITE D",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507037",
            "telephone_number": "530-544-7744",
            "fax_number": "530-544-5593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD M GEMBERLING MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "GEMBERLING",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "530-544-7744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A26040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.