Organization Active NPI

Michael B Macquarrie MD Inc

Doing business as North Tahoe Emergency Physicians

  • Emergency Medical Services (Emergency Medicine) Physician
  • Incline Village, NV
National Provider Identifier
1427027077
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
G23578 Issued in CA
Legal business name
MICHAEL B MACQUARRIE MD INC
Doing business as
North Tahoe Emergency Physicians
Practice address
880 Alder Ave
Incline Village, NV 89451-8335
Phone
(530) 582-3220
NPI assigned
Mar 16, 2006
Last updated
Mar 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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

Authorized official

Name
Michael B Macquarrie, M.D.NPI 1548277692
Title
M.D./Owner
Phone
(530) 582-3140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X G23578 CA Primary

Addresses

Primary practice location

880 Alder Ave
Incline Village, NV 89451-8335

Mailing address

1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (510) 350-2666

Other identifiers 1

IdentifierTypeStateIssuer
GR0090630MedicaidCA

Other names 1

  • North Tahoe Emergency Physicians Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1427027077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CUMMINS DR STE D",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953586411",
            "telephone_number": "510-350-2666",
            "fax_number": "510-879-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 ALDER AVE",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894518335",
            "telephone_number": "530-582-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL B MACQUARRIE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-16",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "MACQUARRIE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "530-582-3140",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CA",
            "license": "G23578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0090630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Tahoe Emergency Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Incline Village, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.