| Tahoe Forest Multispecialty Clinics | |
|
10121 Pine Ave Truckee CA 96161-4835 | |
| (530) 550-1325 | |
| (530) 550-1671 |
| Full Name | Tahoe Forest Multispecialty Clinics |
|---|---|
| Speciality | Clinic/Center |
| Location | 10121 Pine Ave, Truckee, California |
| Authorized Official Name and Position | Crystal None Betts (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5305826656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tahoe Forest Multispecialty Clinics 10121 Pine Ave Truckee CA 96161-4835 Ph: (530) 550-1325 | Tahoe Forest Multispecialty Clinics 10121 Pine Ave Truckee CA 96161-4835 Ph: (530) 550-1325 |
| NPI Number | 1750412300 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/20/2009 |
| Medicare PECOS PAC ID | 0446161335 |
|---|---|
| Medicare Enrollment ID | O20050329001397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750412300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 230000151 (California) | Primary |
| Provider Name | Jeffrey S Dodd |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366450264 PECOS PAC ID: 6103711577 Enrollment ID: I20040216001219 |
| Provider Name | Naomi L Albertson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902905813 PECOS PAC ID: 3577559715 Enrollment ID: I20040422000925 |
| Provider Name | Daniel Zovich |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538140017 PECOS PAC ID: 3072592369 Enrollment ID: I20040720000350 |
| Provider Name | Alar Saaremets |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346290012 PECOS PAC ID: 0648245480 Enrollment ID: I20040902000442 |
| Provider Name | David Kirk Ritchie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134232010 PECOS PAC ID: 3173590353 Enrollment ID: I20040916000274 |
| Provider Name | John Vincent Foley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720049620 PECOS PAC ID: 9032021654 Enrollment ID: I20041112001105 |
| Provider Name | Jeanne Plumb |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215961354 PECOS PAC ID: 6901862341 Enrollment ID: I20041207000697 |
| Provider Name | James F Schlund |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144261348 PECOS PAC ID: 8325950439 Enrollment ID: I20050105000333 |
| Provider Name | Shawni L Coll |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821085416 PECOS PAC ID: 7113979063 Enrollment ID: I20050218000374 |
| Provider Name | Reini Anna Jensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295881787 PECOS PAC ID: 4688629967 Enrollment ID: I20050318000915 |
| Provider Name | Myron L Kamenetsky |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326094483 PECOS PAC ID: 6507756103 Enrollment ID: I20050622001237 |
| Provider Name | Nina S Winans |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1992756472 PECOS PAC ID: 5092728774 Enrollment ID: I20060725000126 |
| Provider Name | Thaddeus A Laird |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750482097 PECOS PAC ID: 1557346319 Enrollment ID: I20070320000409 |
| Provider Name | Jie Lan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1659332872 PECOS PAC ID: 4880610104 Enrollment ID: I20070509000674 |
| Provider Name | Gregory B Tirdel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821080144 PECOS PAC ID: 9234237413 Enrollment ID: I20070626000322 |
| Provider Name | Paul K Krause |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184770653 PECOS PAC ID: 9032157615 Enrollment ID: I20081009000113 |
| Provider Name | Gina Barta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982750451 PECOS PAC ID: 0941248520 Enrollment ID: I20081013000095 |
| Provider Name | John T Lombard |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992808331 PECOS PAC ID: 3779641758 Enrollment ID: I20081020000454 |
| Provider Name | Michelle A Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801982343 PECOS PAC ID: 1759441256 Enrollment ID: I20081113000356 |
| Provider Name | John Stanec |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083642284 PECOS PAC ID: 4082774039 Enrollment ID: I20081120000126 |
| Provider Name | Richard B Ganong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932255403 PECOS PAC ID: 8123066701 Enrollment ID: I20081204000580 |
| Provider Name | Paul Y Gweon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528127198 PECOS PAC ID: 1355403718 Enrollment ID: I20081218000171 |
| Provider Name | Brian N Naftulin |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1407977531 PECOS PAC ID: 4385724574 Enrollment ID: I20090112000602 |
| Provider Name | Haven M Ritchie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104876143 PECOS PAC ID: 6608939731 Enrollment ID: I20090115000096 |
| Provider Name | Peter Taylor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437119906 PECOS PAC ID: 8325100506 Enrollment ID: I20090127000648 |
| Provider Name | Sam Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649289992 PECOS PAC ID: 7416045901 Enrollment ID: I20090507000404 |
| Provider Name | Alison M Semrad |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1003892993 PECOS PAC ID: 1557414372 Enrollment ID: I20090727000584 |
| Provider Name | Gregg M Paul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306992896 PECOS PAC ID: 6002962453 Enrollment ID: I20090925000530 |
| Provider Name | Christine N Schellin |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1427003425 PECOS PAC ID: 3476648569 Enrollment ID: I20100618000416 |
| Provider Name | Ahrin B Koppel |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1144433541 PECOS PAC ID: 2062544513 Enrollment ID: I20100719000421 |
| Provider Name | Thomas J Semrad |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467438358 PECOS PAC ID: 3678606159 Enrollment ID: I20100804000609 |
| Provider Name | Jonathan A Polikoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497822332 PECOS PAC ID: 4183748973 Enrollment ID: I20100831000650 |
| Provider Name | Frank P Carrea |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1245222900 PECOS PAC ID: 9830003441 Enrollment ID: I20101217000465 |
| Provider Name | John E Hortareas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376536193 PECOS PAC ID: 8729020953 Enrollment ID: I20110802000443 |
| Provider Name | Joshua P Kreiss |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295952562 PECOS PAC ID: 1658540794 Enrollment ID: I20110808000292 |
| Provider Name | Ellen Cooper |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1003920596 PECOS PAC ID: 4587798202 Enrollment ID: I20111017000177 |
| Provider Name | Joshua D Scholnick |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679682330 PECOS PAC ID: 1557392586 Enrollment ID: I20111116000793 |
| Provider Name | Ricki A Alpert |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063555696 PECOS PAC ID: 8426089509 Enrollment ID: I20111201000330 |
| Provider Name | Stasia B Muhlner |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1639488497 PECOS PAC ID: 4789859331 Enrollment ID: I20111208000700 |
| Provider Name | Alison Ganong |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1790965960 PECOS PAC ID: 1951577980 Enrollment ID: I20111222000139 |
| Provider Name | Daphne Palmer |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1205896024 PECOS PAC ID: 0244235463 Enrollment ID: I20120515000183 |
| Provider Name | Jeffrey S Fountain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245420447 PECOS PAC ID: 7517141377 Enrollment ID: I20120530000222 |
| Provider Name | Heidi E Standteiner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982633830 PECOS PAC ID: 7113930009 Enrollment ID: I20130110000489 |
| Provider Name | Thomas Hovenic |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073639761 PECOS PAC ID: 8022150275 Enrollment ID: I20130820000874 |
| Provider Name | Gurpreet Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265629828 PECOS PAC ID: 3375786973 Enrollment ID: I20130829000715 |
| Provider Name | Sonia E Reichert |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1679773873 PECOS PAC ID: 7810166584 Enrollment ID: I20131106001155 |
| Provider Name | Ishai Erez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124335625 PECOS PAC ID: 8325273873 Enrollment ID: I20131108001476 |
| Provider Name | Chelsea L Roth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720384704 PECOS PAC ID: 7315175155 Enrollment ID: I20140124000641 |
| Provider Name | Elaine Kaime |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1396716114 PECOS PAC ID: 6103079785 Enrollment ID: I20140407001977 |
| Provider Name | Phillip E Jones |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922204494 PECOS PAC ID: 0749417756 Enrollment ID: I20140514002498 |
| Provider Name | Ann B Ajari |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447371190 PECOS PAC ID: 9638392582 Enrollment ID: I20140521001318 |
| Provider Name | Jayson Alan Weir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1518257138 PECOS PAC ID: 2163647355 Enrollment ID: I20140701002282 |
| Provider Name | Naveen Maramreddy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134411267 PECOS PAC ID: 1951527605 Enrollment ID: I20140801000988 |
| Provider Name | Justin T Hunt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386806156 PECOS PAC ID: 5991833386 Enrollment ID: I20140820001234 |
| Provider Name | Andrew P Ringnes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1861627572 PECOS PAC ID: 5496986036 Enrollment ID: I20140827002953 |
| Provider Name | Gregory William Lanouette |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710974365 PECOS PAC ID: 0345141487 Enrollment ID: I20141110001349 |
| Provider Name | Liana Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265782429 PECOS PAC ID: 3779807060 Enrollment ID: I20150114001874 |
| Provider Name | Kevin Cahill |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992059695 PECOS PAC ID: 0244535870 Enrollment ID: I20160219001034 |
| Provider Name | Celia W Sutton-pado |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811109937 PECOS PAC ID: 2062654957 Enrollment ID: I20160311001138 |
| Provider Name | Jessica L Hepner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497192611 PECOS PAC ID: 8527202571 Enrollment ID: I20170705001635 |
| Provider Name | Jonathan T Hagen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487915153 PECOS PAC ID: 3577864503 Enrollment ID: I20170823000104 |
| Provider Name | Cara A Streit |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134387434 PECOS PAC ID: 9436309556 Enrollment ID: I20171215001794 |
| Provider Name | Elena Guslikov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114371283 PECOS PAC ID: 5294095691 Enrollment ID: I20180202001613 |
| Provider Name | Mark Wainstein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225033996 PECOS PAC ID: 6406840206 Enrollment ID: I20180523001222 |
| Provider Name | Daniel Stoll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255713418 PECOS PAC ID: 1951696707 Enrollment ID: I20180905001515 |
| Provider Name | Nicole M Jernick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275928103 PECOS PAC ID: 7416200274 Enrollment ID: I20181024000575 |
| Provider Name | Steven B Perrins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053601633 PECOS PAC ID: 6901039619 Enrollment ID: I20181217001428 |
| Provider Name | Tenille Bany |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073930038 PECOS PAC ID: 7214258094 Enrollment ID: I20190529001938 |
| Provider Name | Nicholas B Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265753974 PECOS PAC ID: 3375765449 Enrollment ID: I20190611002166 |
| Provider Name | Cherisse Antoinette Bent Mwero |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457771107 PECOS PAC ID: 2567796915 Enrollment ID: I20190619000923 |
| Provider Name | Ellen Marie Dejong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154711836 PECOS PAC ID: 5991030439 Enrollment ID: I20190705000713 |
| Provider Name | Kathleen Legarza |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841298379 PECOS PAC ID: 5698719953 Enrollment ID: I20190828000790 |
| Provider Name | Geoffrey Mcwilliams |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538589684 PECOS PAC ID: 5193044998 Enrollment ID: I20191025000270 |
| Provider Name | Jeffrey B Watson |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1053629527 PECOS PAC ID: 3476873175 Enrollment ID: I20200402001809 |
| Provider Name | Anna Michelle Olsen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790119626 PECOS PAC ID: 4082036264 Enrollment ID: I20200616001966 |
| Provider Name | Katy M Schousen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881034734 PECOS PAC ID: 6800102500 Enrollment ID: I20200630002508 |
| Provider Name | Joshua Robert Pfent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801277678 PECOS PAC ID: 8921357914 Enrollment ID: I20200824001540 |
| Provider Name | Carleigh Jgae Brekke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801493424 PECOS PAC ID: 3577973338 Enrollment ID: I20201105001737 |
| Provider Name | Ellie Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962009324 PECOS PAC ID: 6103236914 Enrollment ID: I20201106000729 |
| Provider Name | Justin Taylor Ward |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1215371893 PECOS PAC ID: 5193125201 Enrollment ID: I20210610003344 |
| Provider Name | Daniel Cramer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316478415 PECOS PAC ID: 4486991650 Enrollment ID: I20210726002431 |
| Provider Name | Michael L Jernick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437544665 PECOS PAC ID: 0042616377 Enrollment ID: I20210910002044 |
| Provider Name | Jonathan S Hedrick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417342106 PECOS PAC ID: 7012200793 Enrollment ID: I20220818000315 |
| Provider Name | Mackenzie Dains |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205418142 PECOS PAC ID: 9638579675 Enrollment ID: I20220818002060 |
| Provider Name | Michelle S Pourtabib |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003398611 PECOS PAC ID: 5092198366 Enrollment ID: I20220818002890 |
| Provider Name | Michael V Ramirez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1770937427 PECOS PAC ID: 8628360617 Enrollment ID: I20220826002234 |
| Provider Name | Maxwell Binstock |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497315725 PECOS PAC ID: 1658785134 Enrollment ID: I20220914003756 |
| Provider Name | Erica M Dastrup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265915524 PECOS PAC ID: 3779837026 Enrollment ID: I20220929002003 |
| Provider Name | Mark S Ruggiero |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972621225 PECOS PAC ID: 2466773163 Enrollment ID: I20221102000874 |
| Provider Name | David Louis Lemak |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669563334 PECOS PAC ID: 2769382035 Enrollment ID: I20221116002666 |
| Provider Name | Clifford J Field |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588681084 PECOS PAC ID: 0547363541 Enrollment ID: I20230109002766 |
| Provider Name | Marianna Grace Bettina Pucillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124658067 PECOS PAC ID: 9537530126 Enrollment ID: I20230118001177 |
| Provider Name | Brooke Schauder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013100288 PECOS PAC ID: 8628449980 Enrollment ID: I20230124001507 |
| Provider Name | Sarah L Redgrave |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225261548 PECOS PAC ID: 5092186221 Enrollment ID: I20230125002207 |
| Provider Name | Emily A Moller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376265819 PECOS PAC ID: 7416328562 Enrollment ID: I20230127000796 |
| Provider Name | James M Nachiondo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407832231 PECOS PAC ID: 9133157332 Enrollment ID: I20230209001227 |
| Provider Name | Beth M Lavin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1306434899 PECOS PAC ID: 1759753171 Enrollment ID: I20230214000160 |
| Provider Name | Jayson Koppinger |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083076822 PECOS PAC ID: 6608249610 Enrollment ID: I20230222000804 |
| Provider Name | Tayna E Reynoso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215390869 PECOS PAC ID: 6002280385 Enrollment ID: I20230328002875 |
| Provider Name | Katina Varzos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932126398 PECOS PAC ID: 6507861333 Enrollment ID: I20230410001088 |
| Provider Name | Thomas C Miskavige |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790048940 PECOS PAC ID: 5890016034 Enrollment ID: I20230616002766 |
| Provider Name | Michael P Hagen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811282932 PECOS PAC ID: 7517275225 Enrollment ID: I20230710002433 |
| Provider Name | Erin Ann Zurflu |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1629331558 PECOS PAC ID: 1254636814 Enrollment ID: I20230713001664 |
| Provider Name | Daniel A Hansen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053722892 PECOS PAC ID: 7719105634 Enrollment ID: I20230731002437 |
| Provider Name | Keri L Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720238918 PECOS PAC ID: 6002977204 Enrollment ID: I20231024002470 |
| Provider Name | Anna J Holman |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1417480716 PECOS PAC ID: 5991058547 Enrollment ID: I20231024004184 |
| Provider Name | Travis Hays |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578192472 PECOS PAC ID: 9739595133 Enrollment ID: I20240109004677 |
| Provider Name | Kristyn M Mcdougall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649752106 PECOS PAC ID: 3678812724 Enrollment ID: I20240227003113 |
| Provider Name | Kari L Kompaniez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1760805576 PECOS PAC ID: 2961783097 Enrollment ID: I20240415002116 |
Tahoe Forest Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10956 Donner Pass Rd Ste 110, Truckee, CA 96161 Phone: 530-581-8864 | |
Donner Pass Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10956 Donner Pass Rd, Suite 260, Truckee, CA 96161 Phone: 530-582-6400 Fax: 530-582-6991 | |
Tahoe Forest Msc Im/card Rhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10978 Donner Pass Rd, Truckee, CA 96161 Phone: 530-582-1212 | |
Tahoe Forest Multispecialty Clinics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10956 Donner Pass Rd, Suite 130, Truckee, CA 96161 Phone: 530-587-3523 | |
Sierra Cosmetic Laser, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10448 Donner Pass Rd, Truckee, CA 96161 Phone: 530-448-6207 | |
Patricia Reber, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9705 State Route 267 Ste 1, Truckee, CA 96161 Phone: 530-213-5606 Fax: 650-446-1039 | |
Tahoe Forest Multispecialty Clinic Ob Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10175 Levone Ave, Truckee, CA 96161 Phone: 530-587-1041 |