| Carson Tahoe Physician Clinics | |
|
2874 N Carson Street Suite 200 Carson City NV 89706-1682 | |
| (775) 883-9003 | |
| (775) 883-0959 |
| Full Name | Carson Tahoe Physician Clinics |
|---|---|
| Speciality | Internal Medicine |
| Location | 2874 N Carson Street, Carson City, Nevada |
| Authorized Official Name and Position | James M Hiney (DIRECTOR) |
| Authorized Official Contact | 7754457291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carson Tahoe Physician Clinics 2874 N Carson Street Suite 200 Carson City NV 89706-1682 Ph: (775) 883-9003 | Carson Tahoe Physician Clinics 2874 N Carson Street Suite 200 Carson City NV 89706-1682 Ph: (775) 883-9003 |
| NPI Number | 1023265717 |
|---|---|
| Provider Enumeration Date | 08/25/2008 |
| Last Update Date | 07/26/2011 |
| Medicare PECOS PAC ID | 1153479027 |
|---|---|
| Medicare Enrollment ID | O20090502000046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023265717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ralph Herbig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700972429 PECOS PAC ID: 0143112938 Enrollment ID: I20040326000614 |
| Provider Name | Daniel R Caruso |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1558378778 PECOS PAC ID: 8628059193 Enrollment ID: I20040528001242 |
| Provider Name | Kara L Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649340738 PECOS PAC ID: 6709869985 Enrollment ID: I20040609000732 |
| Provider Name | John P Kelly |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1477512234 PECOS PAC ID: 4183609019 Enrollment ID: I20040625000087 |
| Provider Name | Stephan E Swearngin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467426668 PECOS PAC ID: 1254304785 Enrollment ID: I20040813000705 |
| Provider Name | Todd P Chapman |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1326011685 PECOS PAC ID: 6002711512 Enrollment ID: I20040928000240 |
| Provider Name | Lisa N Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912970286 PECOS PAC ID: 8022087980 Enrollment ID: I20040928000295 |
| Provider Name | Kent W Gabriel |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1205862182 PECOS PAC ID: 8325016850 Enrollment ID: I20050209000064 |
| Provider Name | Christopher J Dipaolo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134111891 PECOS PAC ID: 6305892159 Enrollment ID: I20050324000998 |
| Provider Name | Tomas Hinojosa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497719405 PECOS PAC ID: 7719872233 Enrollment ID: I20050607000433 |
| Provider Name | James M Nachiondo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407832231 PECOS PAC ID: 9133157332 Enrollment ID: I20050729000156 |
| Provider Name | Jeffrey D Upton |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1790744209 PECOS PAC ID: 7416973516 Enrollment ID: I20051019000003 |
| Provider Name | Phil M Aldrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275645426 PECOS PAC ID: 0941229736 Enrollment ID: I20051122000560 |
| Provider Name | Basil E Chryssos |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851383517 PECOS PAC ID: 7012810781 Enrollment ID: I20051122000576 |
| Provider Name | Jeffrey Basa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992851323 PECOS PAC ID: 0840210654 Enrollment ID: I20051122000829 |
| Provider Name | Richard I Yamamoto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215083753 PECOS PAC ID: 9436140126 Enrollment ID: I20051128000064 |
| Provider Name | David M Baker |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063464279 PECOS PAC ID: 0749204246 Enrollment ID: I20060124000351 |
| Provider Name | Paul D Manoukian |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1083673909 PECOS PAC ID: 7911891593 Enrollment ID: I20070907000188 |
| Provider Name | Kraig A Knoll |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225028277 PECOS PAC ID: 0648165886 Enrollment ID: I20080211000039 |
| Provider Name | Mark T Brune |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093723140 PECOS PAC ID: 8426132531 Enrollment ID: I20080228000167 |
| Provider Name | David A Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568596229 PECOS PAC ID: 8527147917 Enrollment ID: I20080904000374 |
| Provider Name | Susan L Oleary |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1760697940 PECOS PAC ID: 9436227261 Enrollment ID: I20081007000633 |
| Provider Name | Heather L Dean |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1336246388 PECOS PAC ID: 9234297789 Enrollment ID: I20081028000152 |
| Provider Name | Seong H Mcginnis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518997550 PECOS PAC ID: 9931262862 Enrollment ID: I20090120000384 |
| Provider Name | David S Hoskins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043241961 PECOS PAC ID: 8729116496 Enrollment ID: I20100518000055 |
| Provider Name | Dina K Tack |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1730402025 PECOS PAC ID: 4688703564 Enrollment ID: I20100602000811 |
| Provider Name | Michael R Solinger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518944305 PECOS PAC ID: 9537241534 Enrollment ID: I20100621000182 |
| Provider Name | John H Mcafee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366429136 PECOS PAC ID: 4880591320 Enrollment ID: I20100621000874 |
| Provider Name | Randall G Nixon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1346379187 PECOS PAC ID: 7214012509 Enrollment ID: I20110119000955 |
| Provider Name | Nathan Hung Ho |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1841220845 PECOS PAC ID: 5698878676 Enrollment ID: I20110829000040 |
| Provider Name | Jean Gebhard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225398688 PECOS PAC ID: 2062676141 Enrollment ID: I20120621000439 |
| Provider Name | Susan L Knowles |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1750583092 PECOS PAC ID: 4183778152 Enrollment ID: I20120727000603 |
| Provider Name | Breanna Di Pinto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508900812 PECOS PAC ID: 9234147661 Enrollment ID: I20130502000544 |
| Provider Name | Sonia N Rupp |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548486699 PECOS PAC ID: 3870675598 Enrollment ID: I20131025000603 |
| Provider Name | Lorrie M Oksenholt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821261462 PECOS PAC ID: 4880820026 Enrollment ID: I20131119000138 |
| Provider Name | Tatsiana Furman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427459809 PECOS PAC ID: 4284855255 Enrollment ID: I20141016002610 |
| Provider Name | Leighanne Shirey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922481951 PECOS PAC ID: 1850609819 Enrollment ID: I20150924003049 |
| Provider Name | Elizabeth Haase |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881755627 PECOS PAC ID: 8325935794 Enrollment ID: I20160115001681 |
| Provider Name | Leslie Louise Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932560299 PECOS PAC ID: 2466759568 Enrollment ID: I20160404001509 |
| Provider Name | Deborah Le Balch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134589922 PECOS PAC ID: 0547568131 Enrollment ID: I20160414001971 |
| Provider Name | Sara Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295190304 PECOS PAC ID: 1850699018 Enrollment ID: I20160421000566 |
| Provider Name | Lorraine Munson Haines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912352154 PECOS PAC ID: 6305133752 Enrollment ID: I20160928001794 |
| Provider Name | Andrea Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447640578 PECOS PAC ID: 1355645094 Enrollment ID: I20170105000960 |
| Provider Name | Jennifer Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568908879 PECOS PAC ID: 3274819115 Enrollment ID: I20170407001821 |
| Provider Name | Nael Aboul-hosn |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164715272 PECOS PAC ID: 3971873365 Enrollment ID: I20170718000906 |
| Provider Name | Audry L See-searcy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457898967 PECOS PAC ID: 4789957143 Enrollment ID: I20170906002531 |
| Provider Name | Amy P Blitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871663963 PECOS PAC ID: 7911191556 Enrollment ID: I20171018001981 |
| Provider Name | Brian D Montgomery |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1356788301 PECOS PAC ID: 3173764206 Enrollment ID: I20180718004029 |
| Provider Name | Christopher R Vlasek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518351089 PECOS PAC ID: 4385951912 Enrollment ID: I20180918002465 |
| Provider Name | Honeylette Mojica Brotonel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154705101 PECOS PAC ID: 9234483660 Enrollment ID: I20181121000335 |
| Provider Name | Eng Keong Tan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811339013 PECOS PAC ID: 8325274806 Enrollment ID: I20190117003993 |
| Provider Name | Alban De Schutter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134434988 PECOS PAC ID: 2163713769 Enrollment ID: I20190311000657 |
| Provider Name | Sherry L Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497857932 PECOS PAC ID: 1355370024 Enrollment ID: I20190612000541 |
| Provider Name | Sina Rajamand |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598105280 PECOS PAC ID: 1153611140 Enrollment ID: I20190624000105 |
| Provider Name | Madison M Gurries |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1487215232 PECOS PAC ID: 5799011748 Enrollment ID: I20190729001802 |
| Provider Name | Burton Jared Tabaac |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295154219 PECOS PAC ID: 4082831367 Enrollment ID: I20190730004728 |
| Provider Name | Javier Alexander Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336658921 PECOS PAC ID: 3274886619 Enrollment ID: I20190805000163 |
| Provider Name | Marie Lyn Emmerich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457706327 PECOS PAC ID: 1658601919 Enrollment ID: I20190930001155 |
| Provider Name | Allison Cotton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154737310 PECOS PAC ID: 5698091692 Enrollment ID: I20191014000520 |
| Provider Name | Anne Butler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629422613 PECOS PAC ID: 0345521050 Enrollment ID: I20191023001316 |
| Provider Name | Matthew William Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003266032 PECOS PAC ID: 7416240577 Enrollment ID: I20191024002356 |
| Provider Name | Shervin Sarmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639524556 PECOS PAC ID: 7911288717 Enrollment ID: I20191030000695 |
| Provider Name | Majd Ibrahim |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700199627 PECOS PAC ID: 9133440464 Enrollment ID: I20191203001532 |
| Provider Name | Lorrel Elizabeth Brown Toft |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376749754 PECOS PAC ID: 6901074962 Enrollment ID: I20200221000388 |
| Provider Name | Trina Belair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417203753 PECOS PAC ID: 1850523747 Enrollment ID: I20200309002349 |
| Provider Name | Valerie R Jakubos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538780424 PECOS PAC ID: 5698199065 Enrollment ID: I20200717000864 |
| Provider Name | Amy N Stratton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730315433 PECOS PAC ID: 7012155336 Enrollment ID: I20200902003085 |
| Provider Name | Ross M Jenson |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1093190415 PECOS PAC ID: 3971843848 Enrollment ID: I20200918000637 |
| Provider Name | Kylie M Vizzusi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528615457 PECOS PAC ID: 3678984127 Enrollment ID: I20201204001277 |
| Provider Name | Cathy Petti |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1134219751 PECOS PAC ID: 4183687114 Enrollment ID: I20201208002015 |
| Provider Name | Matthew Dominic Mingrone |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1912029919 PECOS PAC ID: 3779506357 Enrollment ID: I20210311002590 |
| Provider Name | Laura Breu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942749833 PECOS PAC ID: 0143504118 Enrollment ID: I20210503002575 |
| Provider Name | Nathanael Duane Mellum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194300152 PECOS PAC ID: 1658771548 Enrollment ID: I20210615000904 |
| Provider Name | Lyudmila I Petruk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528154770 PECOS PAC ID: 4587662549 Enrollment ID: I20210617000569 |
| Provider Name | Jeffrey Turner |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942543004 PECOS PAC ID: 7416186150 Enrollment ID: I20210715002246 |
| Provider Name | Kimberlina Tiffiny Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699348292 PECOS PAC ID: 2466856778 Enrollment ID: I20210809003662 |
| Provider Name | Lorilee S Sutter |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1114906435 PECOS PAC ID: 9739373044 Enrollment ID: I20210908003610 |
| Provider Name | Stephanie Vargas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811494081 PECOS PAC ID: 2466859947 Enrollment ID: I20210927000819 |
| Provider Name | Gladys Pascual Dolor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285207043 PECOS PAC ID: 4587061924 Enrollment ID: I20210928000079 |
| Provider Name | Pamela Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578811097 PECOS PAC ID: 3072760917 Enrollment ID: I20211108002698 |
| Provider Name | Alana Starr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619642626 PECOS PAC ID: 7416346341 Enrollment ID: I20211116000900 |
| Provider Name | Elena L Crandell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487329421 PECOS PAC ID: 1355731860 Enrollment ID: I20211123002772 |
| Provider Name | Alexandria Deann Hastings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588323901 PECOS PAC ID: 7113318403 Enrollment ID: I20211221001366 |
| Provider Name | Jessica Lyn Janas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356003214 PECOS PAC ID: 2264823582 Enrollment ID: I20211221002588 |
| Provider Name | Marjeana Hope Lampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134887813 PECOS PAC ID: 4789078486 Enrollment ID: I20220223000519 |
| Provider Name | Kimberly A Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245837095 PECOS PAC ID: 7618381013 Enrollment ID: I20220405000239 |
| Provider Name | Allison H Steinmetz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245242411 PECOS PAC ID: 6800978396 Enrollment ID: I20220620000413 |
| Provider Name | Deanna Henderson-martin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1033405360 PECOS PAC ID: 0446548614 Enrollment ID: I20220712002538 |
| Provider Name | Yee Liong Lee |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699296392 PECOS PAC ID: 7911271614 Enrollment ID: I20220901000633 |
| Provider Name | Duane Gilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164612560 PECOS PAC ID: 9436387602 Enrollment ID: I20221114001954 |
| Provider Name | Jed L Freeman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1275669038 PECOS PAC ID: 3870504525 Enrollment ID: I20230111001941 |
| Provider Name | Bobby Niemann |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275595985 PECOS PAC ID: 8527032747 Enrollment ID: I20230113000312 |
| Provider Name | Verena C Samara |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376886846 PECOS PAC ID: 0345564399 Enrollment ID: I20230309002622 |
| Provider Name | Duncan Langguth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972201101 PECOS PAC ID: 0446615744 Enrollment ID: I20230419002854 |
| Provider Name | Jessica Shanti Leman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629407622 PECOS PAC ID: 7911368337 Enrollment ID: I20230802000959 |
| Provider Name | Neetharika Thottempudi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1003313511 PECOS PAC ID: 5597012062 Enrollment ID: I20230829003225 |
| Provider Name | Mithun Gopal Devraj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1396127205 PECOS PAC ID: 2264895812 Enrollment ID: I20230829003741 |
| Provider Name | Adam Hayden Weiher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689086274 PECOS PAC ID: 6305209719 Enrollment ID: I20230901001781 |
| Provider Name | Anjani Pillarisetty |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1770999799 PECOS PAC ID: 4284966417 Enrollment ID: I20230905002349 |
| Provider Name | Ragneel Reddy Bijjula |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366730491 PECOS PAC ID: 6901053891 Enrollment ID: I20230906003580 |
| Provider Name | Lahdan Refahiyat |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801246731 PECOS PAC ID: 0648564583 Enrollment ID: I20230907004045 |
| Provider Name | Varun Kohli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255861977 PECOS PAC ID: 1355705807 Enrollment ID: I20230915002948 |
| Provider Name | Ryan Osterberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447939624 PECOS PAC ID: 5294180097 Enrollment ID: I20231014000235 |
| Provider Name | Lisa Marie Renner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629759980 PECOS PAC ID: 9830548098 Enrollment ID: I20240131001902 |
| Provider Name | So Hyun Hines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871083956 PECOS PAC ID: 9638423239 Enrollment ID: I20240315001652 |
| Provider Name | Kelli Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518637321 PECOS PAC ID: 2163812645 Enrollment ID: I20240321003795 |
| Provider Name | Mohamed Sharif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629464243 PECOS PAC ID: 2961708029 Enrollment ID: I20240328004069 |
| Provider Name | Dennis Gee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962678805 PECOS PAC ID: 4082785456 Enrollment ID: I20240419002993 |
| Provider Name | Sara Nicole Torgerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962182386 PECOS PAC ID: 9335589282 Enrollment ID: I20240425003698 |
| Provider Name | Dreylana Shatori Hill Taylor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871936906 PECOS PAC ID: 7911229281 Enrollment ID: I20240430003725 |
| Provider Name | Chinenyenwa Onyemaechi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396087052 PECOS PAC ID: 9234438433 Enrollment ID: I20240502002587 |
| Provider Name | Yala Kirthi Reddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952835233 PECOS PAC ID: 0648610766 Enrollment ID: I20240506003244 |
| Provider Name | Srinivas Dannaram |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003120437 PECOS PAC ID: 5698908564 Enrollment ID: I20240513001498 |
| Provider Name | Amy Schuett |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992717664 PECOS PAC ID: 0345244760 Enrollment ID: I20240513001813 |
| Provider Name | Johnny Williamson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144310509 PECOS PAC ID: 9335277631 Enrollment ID: I20240530001202 |
| Provider Name | Michael Blue |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588835185 PECOS PAC ID: 8921286626 Enrollment ID: I20240607002125 |
| Provider Name | Faith Murray-taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942693346 PECOS PAC ID: 4183934110 Enrollment ID: I20240703001456 |
| Provider Name | Alisa Berger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1619017043 PECOS PAC ID: 8426133141 Enrollment ID: I20240806004160 |
| Provider Name | John White |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689601379 PECOS PAC ID: 0446219828 Enrollment ID: I20240807003746 |
| Provider Name | Jessica Chan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275920373 PECOS PAC ID: 7810290830 Enrollment ID: I20240808001503 |
| Provider Name | Joi Hester |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659805133 PECOS PAC ID: 7416344296 Enrollment ID: I20240909002043 |
| Provider Name | Kirk Keene |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1699853358 PECOS PAC ID: 3274715636 Enrollment ID: I20240911004155 |
| Provider Name | Grant Clowers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235100124 PECOS PAC ID: 5991804221 Enrollment ID: I20241016003699 |
| Provider Name | Linda Louise Bellegray |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1164667119 PECOS PAC ID: 0446782361 Enrollment ID: I20241017000300 |
| Provider Name | Lawrence Jesse Carr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386991214 PECOS PAC ID: 6608308457 Enrollment ID: I20241017001725 |
| Provider Name | April Tedrowe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578342739 PECOS PAC ID: 8325571730 Enrollment ID: I20241023004335 |
| Provider Name | Jessica Gabrielian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295362374 PECOS PAC ID: 1951834175 Enrollment ID: I20241027000016 |
| Provider Name | Laura Heinrich |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1396891156 PECOS PAC ID: 9830622901 Enrollment ID: I20241028002824 |
| Provider Name | Jie Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053693937 PECOS PAC ID: 0143537787 Enrollment ID: I20241029000482 |
| Provider Name | Nicole Lanting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588492532 PECOS PAC ID: 8527592179 Enrollment ID: I20241105003641 |
| Provider Name | Gerald R Conant |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1831221647 PECOS PAC ID: 7012441561 Enrollment ID: I20241106004198 |
| Provider Name | Erika Holliday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831929645 PECOS PAC ID: 5890229876 Enrollment ID: I20241113002909 |
| Provider Name | Marc Stephen Goldman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467415679 PECOS PAC ID: 2860438967 Enrollment ID: I20241122000631 |
| Provider Name | Melanie G Sommers-dain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225472111 PECOS PAC ID: 3870028012 Enrollment ID: I20241125000842 |
| Provider Name | James Dunfield |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1699149377 PECOS PAC ID: 7719412527 Enrollment ID: I20241202003594 |
| Provider Name | Ryan Powers |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104206309 PECOS PAC ID: 0547565830 Enrollment ID: I20241209002933 |
Carson Tahoe Physician Clinics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3200 Market Street, Carson City, NV 89706 Phone: 775-445-7220 Fax: 775-888-3236 | |
Aspen Family Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2874 N Carson St Ste 127, Carson City, NV 89706 Phone: 775-882-1300 Fax: 775-882-1332 | |
Planned Parenthood Mar Monte Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 N Stewart St # 120, Carson City, NV 89706 Phone: 408-795-3600 | |
Usacs Long Term Care Services Osmundson Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2898 Us Highway 50 E, Carson City, NV 89701 Phone: 330-493-4443 | |
Pinnacle Medical Group Hicks Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 E Winnie Ln, Carson City, NV 89706 Phone: 775-204-4000 | |
Santibanez Pac Nevada Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3050 N Ormsby Blvd, Carson City, NV 89703 Phone: 775-883-3622 |