Tahoe Orthopedics and Sports Medicine, Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G82106 Issued in CA

Legal business name

TAHOE ORTHOPEDICS AND SPORTS MEDICINE, INC

Practice address

1139 3Rd St
South Lake Tahoe, CA 96150-3465

Phone

(530) 541-3100

NPI assigned

Jun 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Robert E. Rupp, MD

Title

President

Phone

(530) 541-3100

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Robert Swanson, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Zephyr Cove, NV
  • NPI 1255330312
  NPD

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1831483767",
    "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": "1139 3RD ST",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961503465",
            "telephone_number": "530-541-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHOE ORTHOPEDICS AND SPORTS MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "RUPP",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-541-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G82106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tahoe Carson Valley Medical Group Inc
• Tahoe Coalition for the Homeless
• Tahoe Emergency Physicians Medical Corporation
• Tahoe Family Hearing Clinic, PC
• Tahoe Orthopedics & Sports Medicine, Inc.
• Tahoe Turning Point
• Tahoe Turning Point
• Tahoe Turning Point, Inc.
• Tahoe Youth & Family Services
• Tahoe Youth & Family Services

• Orthopaedic Surgery Physician in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.