TAHOE FRACTURE & ORTHOPEDIC MEDICAL CLINIC, INC.
NPI 1750372140
Orthopaedic Surgery in Carson City, NV
NPI Status: Active since November 03, 2005
Contact Information
973 MICA DR
SUITE 201
CARSON CITY, NV
ZIP 89705
Phone: (775) 783-6190
Fax: (775) 783-6191
- Organization
- Orthopaedic Surgery
- CLIA Number: 29D2044363
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-27-2025
About TAHOE FRACTURE & ORTHOPEDIC MEDICAL CLINIC, INC.
This page provides the complete NPI Profile along with additional information for Tahoe Fracture & Orthopedic Medical Clinic, Inc., a provider established in Carson City, Nevada operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1750372140 assigned on November 2005. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Tahoe Fracture & Orthopedic Medical Clinic, Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Jeffrey Cummings M.d. (Physician/partner)
- NPI
- 1750372140
- Provider Name
- TAHOE FRACTURE & ORTHOPEDIC MEDICAL CLINIC, INC.
- Entity Type
- Organization
- Location Address
- 973 MICA DR SUITE 201 CARSON CITY, NV 89705
- Location Phone
- (775) 783-6190
- Location Fax
- (775) 783-6191
- Mailing Address
- 973 MICA DR SUITE 201 CARSON CITY, NV 89705
- Mailing Phone
- (775) 783-6190
- Mailing Fax
- (775) 783-6191
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-03-2005
- Last Update Date
- 10-12-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207XS0106X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 2 | 207XS0117X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 3 | 213ES0103X | Podiatric Medicine & Surgery Service Providers | Podiatrist | 1006 (NV) |
| 4 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | |
| 5 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| CC4631 | OTHER (01) | NV | BCBS |
| 0478150007 | MEDICARE NSC (07) | NV | |
| 0478150001 | MEDICARE NSC (07) | CA | |
| VWQBCT | MEDICARE PIN (08) | NV | |
| C03071 | OTHER (01) | CA | RAILROAD |
| CH0545 | OTHER (01) | NV | RAILROAD |
| ZZZ49317Z | MEDICARE PIN (08) | CA | |
| 100506168 | MEDICAID (05) | NV | |
| ZZZ49317Z | OTHER (01) | CA | MEDI-CAL |
| 0478150008 | MEDICARE NSC (07) | NV | |
| 0478150004 | MEDICARE NSC (07) | NV |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 29D2044363
- Facility Type
- Physician Office
- Certificate Effective Date
- July 28, 2023
- Certificate Expiration Date
- July 27, 2025
- Laboratory Director
- DR. DIANE G. OLIVER
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Tahoe Fracture & Orthopedic Medical Clinic, Inc. on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for TAHOE FRACTURE & ORTHOPEDIC MEDICAL CLINIC, INC.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 3 | 7 | 2 | 1 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 6 | 7 | 4 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 6 + 7 + 4 + 1 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1750372140 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1457302887 | DR. ROGER PAUL ROGALSKI MD Individual | Orthopaedic Surgery | 973 MICA DR SUITE 201 CARSON CITY, NV 89705 (775) 783-6190 |
| 1942242839 | MARY REINDOLLAR PA-C Individual | Physician Assistant | 973 MICA DR SUITE 201 CARSON CITY, NV 89705 (775) 783-6190 |
| 1538268529 | DR. CHRISTOPHER JOSEPH GARRETT M.D. Individual | Anesthesiology (Pain Medicine) | 973 MICA DR SUITE 101 CARSON CITY, NV 89705 (775) 267-9222 |
| 1922207984 | JAMES HENRY SULLIVAN MD LLC Organization | Anesthesiology (Pain Medicine) | 973 MICA DR SUITE 102 CARSON CITY, NV 89705 (775) 267-9222 |
| 1386837391 | CHRISTOPHER J GARRETT LTD Organization | Anesthesiology (Pain Medicine) | 973 MICA DR SUITE 101 CARSON CITY, NV 89705 (775) 267-9222 |
| 1508047473 | CARSON DOUGLAS PAIN CARE, JAMES H. SULLIVAN, M.D., LTD. Organization | Specialist | 973 MICA DR CARSON CITY, NV 89705 (775) 267-9222 |
| 1316115231 | CARSON DOUGLAS ANESTHESIA SERVICES INC Organization | Anesthesiology (Pain Medicine) | 973 MICA DR SUITE 102 CARSON CITY, NV 89705 (775) 267-9222 |
| 1205098001 | TAHOE FRACTURE AND ORTHOPEDIC MEDICAL CLINIC, INC Organization | Durable Medical Equipment & Medical Supplies | 973 MICA DR SUITE 201 CARSON CITY, NV 89705 (775) 783-6190 |
| 1386970614 | MR. STAR RAY CHENOWETH PA-C Individual | Physician Assistant (Surgical) | 973 MICA DR SUITE 201 CARSON CITY, NV 89705 (775) 783-6190 |
| 1629394663 | RANDALL L GOODE MD PC Organization | Anesthesiology | 973 MICA DR CARSON CITY, NV 89705 (775) 267-2992 |
| 1154323277 | DR. JOSEPH PATRICK WALLS MD Individual | Orthopaedic Surgery | 973 MICA DR STE 201 CARSON CITY, NV 89705 (775) 783-6190 |
| 1942376017 | PAMELA SMITH Individual | Physician Assistant | 973 MICA DR SUITE 201 CARSON CITY, NV 89705 (775) 783-6190 |
| 1437572864 | PETER N COSTA, MD, LTD Organization | Durable Medical Equipment & Medical Supplies | 973 MICA DR SUITE 201 CARSON CITY, NV 89705 (775) 783-6190 |
| 1891179065 | MR. JOSEPH WILLIAM BENTON III MSN FNP Individual | Nurse Practitioner | 973 MICA DR CARSON CITY, NV 89705 (775) 445-7225 |
| 1174504112 | JESSICA LANE YURTINUS M.S.P.T. Individual | Physical Therapist | 973 MICA DR SUITE 201 CARSON CITY, NV 89705 (775) 392-3689 |
| 1538260153 | ANNE PAVLISIN OTR/L, CHT Individual | Occupational Therapist (Hand) | 973 MICA DR SUITE 201 CARSON CITY, NV 89705 (775) 392-3689 |
| 1710311626 | ROBIN Y TOMITA, M.D. Organization | Durable Medical Equipment & Medical Supplies | 973 MICA DR SUITE 201 CARSON CITY, NV 89705 (775) 783-6190 |
| 1922456110 | CONOR WHITE PT Individual | Physical Therapist | 973 MICA DR SUITE 201 CARSON CITY, NV 89705 (775) 392-3689 |
| 1255627964 | DR. MARCO MENDOZA M.D. Individual | Orthopaedic Surgery | 973 MICA DR SUITE 201 CARSON CITY, NV 89705 (775) 783-6190 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750372140, enumerated in the NPI registry as an "organization" on November 03, 2005
The provider is located at 973 Mica Dr Suite 201 Carson City, Nv 89705 and the phone number is (775) 783-6190
This medical organization specializes in Orthopaedic Surgery with taxonomy code 207X00000X
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 29D2044363 for a "physician office" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on November 03, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.