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CARSON TAHOE EMERGENCY PHYSICIANS NPI 1396822821


NPI Information

NPI: 1396822821
Provider Name: CARSON TAHOE EMERGENCY PHYSICIANS
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 29D0888242

Address:
1600 MEDICAL PKWY
CARSON CITY, NV
ZIP 89703
Phone: (775) 445-8005
Get Directions

CARSON TAHOE EMERGENCY PHYSICIANS is an emergency medicine in Carson City, NV. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. CARSON TAHOE EMERGENCY PHYSICIANS NPI is 1396822821. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1600 MEDICAL PKWY
CARSON CITY, NV
ZIP 89703-625
Phone: (775) 445-8005
Fax: (775) 888-3229

The provider's authorized official is David J Strull .
The authorized official title is MANAGING PARTNER PRESIDENTPresident and has the following contact phone number (775) 445-8005.

The CLIA number assigned to this NPI record is 29D0888242 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 4/15/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207PE0004XEmergency MedicineEmergency Medical Services06-00889NEVADANo
2207P00000XEmergency MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1NV4592OTHERNEVADABC/BS
2V36370MEDICARE PINNEVADA
3CJ9488OTHERNEVADARAILROAD
4201317500MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.