| Keith Shonnard, MD | |
|
2874 N Carson St Ste 300, Carson City, NV 89706-1683 | |
| (775) 888-1180 | |
| (775) 852-6902 |
| Full Name | Keith Shonnard |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 2874 N Carson St Ste 300, Carson City, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508898974 | NPI | - | NPPES |
| CK658Y | Other | CA | MEDICARE PTAN |
| 002013091 | Medicaid | NV | |
| FS4913489 | Other | CA | MEDI-CAL |
| 300064321 | Other | NV | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | G87403 (California) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 7398 (Nevada) | Primary |
| Entity Name | Northern Inyo Healthcare District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922198712 PECOS PAC ID: 8921992090 Enrollment ID: O20040210000652 |
| Entity Name | Tahoe Carson Radiology Loos Et Al Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902838352 PECOS PAC ID: 6406832591 Enrollment ID: O20050321000987 |
| Mailing Address | Practice Location Address |
|---|---|
| Keith Shonnard, MD Po Box 2087, Carson City, NV 89702-2087 Ph: (775) 882-0430 | Keith Shonnard, MD 2874 N Carson St Ste 300, Carson City, NV 89706-1683 Ph: (775) 888-1180 |
Betsy Card, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2874 N Carson St Ste 300, Carson City, NV 89706 Phone: 775-445-5500 Fax: 775-888-0202 | |
Thomas Paul Powierza, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2874 N Carson St Ste 300, Carson City, NV 89706 Phone: 775-445-5500 | |
Thomas Mcnamara, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2874 N Carson St Ste 300, Carson City, NV 89706 Phone: 775-888-1180 Fax: 775-852-6902 | |
Dr. Sandra Jill Althaus, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2874 N Carson St, Suite 300, Carson City, NV 89706 Phone: 775-445-5500 Fax: 775-852-6902 | |
Stephen Loos, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2874 N Carson St Ste 300, Carson City, NV 89706 Phone: 775-888-1180 Fax: 775-852-6902 | |
Gary Eugene Turner, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2874 N Carson St Ste 300, Carson City, NV 89706 Phone: 775-888-1180 Fax: 775-852-6902 | |
David N Landis, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2874 N Carson St Ste 300, Carson City, NV 89706 Phone: 775-445-5500 Fax: 775-852-6902 |