Individual provider Active NPI

Laird David Caruthers, M.D.

  • Family Medicine Physician
  • Nevada City, CA
National Provider Identifier
1396925541
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C-6389 Issued in AR
Practice address
15301 Tyler Foote Rd
Nevada City, CA 95959-9318
Phone
(530) 292-3478
Fax
(530) 292-4296
NPI assigned
Nov 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38245 TN
Family Medicine Physician 207Q00000X C-6389 AR Primary

Addresses

Primary practice location

15301 Tyler Foote Rd
Nevada City, CA 95959-9318

Mailing address

15301 Tyler Foote Rd
Nevada City, CA 95959-9318
Phone (530) 292-3478

Other practice location 1

623 N 9th St
Augusta, AR 72006-2129
Phone (870) 347-2534

Other identifiers 3

IdentifierTypeStateIssuer
C-6389OtherARSTATE MEDICAL LICENSE
117581749MedicaidAR
38245OtherTNSTATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
56217CAMDGeneral Practice Dentistry
C-6389ARMDFamily Medicine Physician
38245TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Arcare Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1396925541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15301 TYLER FOOTE RD",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959599318",
            "telephone_number": "530-292-3478",
            "fax_number": "530-292-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15301 TYLER FOOTE RD",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959599318",
            "telephone_number": "530-292-3478",
            "fax_number": "530-292-4296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "623 N 9th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "AR",
            "postal_code": "720062129",
            "country_code": "US",
            "telephone_number": "870-347-2534",
            "fax_number": "870-347-3492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARUTHERS",
        "first_name": "LAIRD",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "38245",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C-6389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "C-6389",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117581749",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "38245",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada City, CA

Sources for this page

Verify at the official NPI Registry.