Tahoe Carson Valley Medical Group Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TAHOE CARSON VALLEY MEDICAL GROUP INC

Practice address

2209 South Ave
South Lake Tahoe, CA 96150-7037

Phone

(530) 543-5783

Fax

(530) 542-8780

NPI assigned

Sep 5, 2018

Last updated

Sep 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Erin E Jones, MDNPI 1619288149

Title

President

Phone

(530) 543-5660

Specialties & licenses 5

Addresses

Locations

Practitioners 4

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.

• Erin Elizabeth Jones, MD

  • Family Medicine Physician
  • Stateline, NV
  • NPI 1619288149
  Authorized official Same address or phone
• Gregory Gene Eyre, MD

  • Surgery Physician
  • South Lake Tahoe, CA
  • NPI 1154328011
  NPD (past)
• Michele Lee Oneill, MD

  • Family Medicine Physician
  • Auburn, CA
  • NPI 1811997588
  NPD (past)
• Mairi Gael Leining, MD

  • Hospitalist Physician
  • Park City, UT
  • NPI 1629066469
  NPD (past)

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1952883043",
    "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": "2209 SOUTH AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507037",
            "telephone_number": "530-543-5783",
            "fax_number": "530-542-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHOE CARSON VALLEY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-543-5660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Mae Swope, D.D.S.
• T. Rutner DDS Dental Corporation
• Allyson Maria Tabor, R.N., P.H.N.
• Tahoe Basin Behavior Analysis, LLC
• 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 Orthopedics and Sports Medicine, Inc

• Clinical Social Worker in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.