North Tahoe Radiology Medical Group Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

NORTH TAHOE RADIOLOGY MEDICAL GROUP INC

Practice address

10121 Pine Ave
Truckee, CA 96161-4835

Phone

(530) 582-3426

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Myron L Kamenetsky, M.D.

Title

Partner

Phone

(530) 582-3426

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1548210735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34120",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895334120",
            "telephone_number": "775-747-5050",
            "fax_number": "775-747-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 PINE AVE",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614835",
            "telephone_number": "530-582-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TAHOE RADIOLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "KAMENETSKY",
        "authorized_official_first_name": "MYRON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "530-582-3426",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Nickel
• Darcy Dean Norman, PT, ATC, CSCS
• Joseph Norris, BOCO
• North Lake Pediatrics Medical Group, Inc.
• North Tahoe Orthopedics
• Allison Lindsey O'Brien, PA-C
• Kristin O'Connor, LCSW
• Antoinette Eva Oberriter, PHARMD
• Christopher Coffin Old, EDS, LPC, NCC, MFT
• Donald Joel Orme, D.D.S.

• Diagnostic Radiology Physician in Truckee, CA
• Providers in Truckee, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.