| Scott Wilson Southard, MD | |
|
1520 Virginia Ranch Rd Ste 1b, Gardnerville, NV 89410-5732 | |
| (530) 541-4119 | |
| (530) 541-3246 |
| Full Name | Scott Wilson Southard |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 44 Years |
| Location | 1520 Virginia Ranch Rd Ste 1b, Gardnerville, Nevada |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134176274 | NPI | - | NPPES |
| 002003053 | Medicaid | NV | |
| 00G600291 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | G60029 (California) | Secondary |
| 207X00000X | Orthopaedic Surgery | 6292 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carson Valley Medical Center | Gardnerville, NV | Hospital |
| Barton Memorial Hospital | South lake tahoe, CA | Hospital |
| Entity Name | Scott W Southard Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811136161 PECOS PAC ID: 4183777980 Enrollment ID: O20090727000382 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Wilson Southard, MD 1520 Virginia Ranch Rd Ste 1b, Gardnerville, NV 89410-5732 Ph: (530) 541-4119 | Scott Wilson Southard, MD 1520 Virginia Ranch Rd Ste 1b, Gardnerville, NV 89410-5732 Ph: (530) 541-4119 |
Dr. Edward M Tapper, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1520 Virginia Ranch Rd, Suite 101b, Gardnerville, NV 89410 Phone: 775-782-2442 Fax: 775-783-6199 | |
Paul Fry, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1520 Virginia Ranch Road, Suite 101b, Gardnerville, NV 89410 Phone: 775-782-2442 Fax: 775-782-7205 | |
Dr. Paul Williams Phillips Jr., M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1524 Us Hwy 395 Ste 2, Gardnerville, NV 89410 Phone: 775-782-3767 |