Lake Tahoe Orthopaedic Institute

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LAKE TAHOE ORTHOPAEDIC INSTITUTE

Practice address

1139 3Rd St
South Lake Tahoe, CA 96150-3465

Phone

(530) 541-3100

Fax

(530) 541-3016

NPI assigned

Mar 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Stephen M Bannar, MD

Title

President

Phone

(530) 541-3100

Specialties & licenses 1

Addresses

Other names 1

• DME - Third Street Other name

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1306086327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 EMERALD BAY RD",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506207",
            "telephone_number": "530-543-5659",
            "fax_number": "530-541-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 3RD ST",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961503465",
            "telephone_number": "530-541-3100",
            "fax_number": "530-541-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE TAHOE ORTHOPAEDIC INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "BANNAR",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-541-3100",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "organization_name": "DME - Third Street",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christine Ann Kozlowski, PT
• Rebecca Kushner
• Jody Kwachak Hall
• Jillian K Labrie, MA, BCBA
• Lake Tahoe Acupuncture and Wellness
• Lake Tahoe Podiatry a Professional Podiatric Corporation
• Lake Tahoe Usd
• Lake Valley Fire Protection District
• Timothy Langan, D.C.
• Catherine Lawlor, PSYD

• Durable Medical Equipment & Medical Supplies in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.