Lake Tahoe Orthopaedic Institute

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LAKE TAHOE ORTHOPAEDIC INSTITUTE

Practice address

1516 Virginia Ranch Rd Ste 101
Gardnerville, NV 89410-5730

Phone

(775) 783-3228

Fax

(775) 783-3227

NPI assigned

Sep 18, 2008

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 - Virginia Ranch Road Other name

Locations

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1356590988",
    "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": "1516 VIRGINIA RANCH RD STE 101",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105730",
            "telephone_number": "775-783-3228",
            "fax_number": "775-783-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE TAHOE ORTHOPAEDIC INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "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 - Virginia Ranch Road",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tarasita Kilmartin, NP
• Ashley Kim
• Soon Kim, M.D.
• Jacqueline Kizer
• Lyndsey Kramm, FNP-BC
• Lakeside Medical
• Mary Pierce Lamore, PT
• Sasha Nicole Larsen, MS CCC-SLP
• Keith R Lemay, PA-C
• Joanne Marie Lenares

• 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 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.