Tahoe Fracture & Orthopedic Medical Clinic, Inc.

LBN: Tahoe Fracture & Orthopedic Medical Clinic, Inc.
Tahoe Fracture & Orthopedic Medical Clinic, Inc. is an health care organization with primary practice located at 973 Mica Dr Suite 201, Carson City NV 89705-7255. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty. Tahoe Fracture & Orthopedic Medical Clinic, Inc. can be contacted via phone (775) 783-6190, or through Cummings, Jeffrey via phone (775) 783-6190.

Contact Information

Primary practice address
973 Mica Dr Suite 201 Carson City NV 89705-7255
Phone: (775) 783-6190
Fax: (775) 783-6191
Website:
Map and Directions
Authorized official contact:
Name: Cummings, Jeffrey Doctor of Medicine (MD)
Phone: (775) 783-6190

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 1006 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1750372140
LBN Legal business name Tahoe Fracture & Orthopedic Medical Clinic, Inc.
DBA Doing business as
Authorized official Cummings, Jeffrey Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 3rd, 2005
Last updated Oct 12th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750372140 NPPES
Nevada Other CC4631 BCBS
Nevada MEDICAID 100506168 BCBS
Nevada Other C03071 BCBS
Nevada Other CH0545 BCBS
Nevada Other ZZZ49317Z BCBS

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