Active NPI
Stephen Paul Abelow, M.D.
- Sports Medicine (Orthopaedic Surgery) Physician
- South Lake Tahoe, CA
National Provider Identifier
1356559082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- G38077
- Practice address
- 2311 Lake Tahoe Blvd
Suite 6
South Lake Tahoe, CA 96150-7129 - Phone
- (530) 544-8033
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | G38077 | CA | Primary |
Addresses
Primary practice location
2311 Lake Tahoe Blvd
Suite 6
South Lake Tahoe, CA 96150-7129
Mailing address
2311 Lake Tahoe Blvd
Suite 6
South Lake Tahoe, CA 96150-7129
Phone (530) 544-8033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G38077 | CA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356559082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 LAKE TAHOE BLVD",
"address_2": "SUITE 6",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961507129",
"telephone_number": "530-544-8033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 LAKE TAHOE BLVD",
"address_2": "SUITE 6",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961507129",
"telephone_number": "530-544-8033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABELOW",
"first_name": "STEPHEN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CA",
"license": "G38077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Lake Tahoe, CA
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- Abby Cohen MD a Medical Corporation
- Jason Randall Acevedo, DDS
- Emily Adams Wilkins
- Dalia Aguilar, PHARMD.
- Fabiola E Aguirre
- Margarita Paloma Aguirre
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.