| Barton Medical Foundation | |
|
2170 South Ave South Lake Tahoe CA 96150-7026 | |
| (530) 541-3420 | |
| Not Available |
| Full Name | Barton Medical Foundation |
|---|---|
| Speciality | Family Medicine |
| Location | 2170 South Ave, South Lake Tahoe, California |
| Authorized Official Name and Position | Kelly Neiger (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5305435923 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barton Medical Foundation 2170 South Ave South Lake Tahoe CA 96150-7026 Ph: (530) 539-6620 | Barton Medical Foundation 2170 South Ave South Lake Tahoe CA 96150-7026 Ph: (530) 541-3420 |
| NPI Number | 1750950499 |
|---|---|
| Provider Enumeration Date | 06/17/2021 |
| Last Update Date | 02/15/2024 |
| Medicare PECOS PAC ID | 5395127682 |
|---|---|
| Medicare Enrollment ID | O20220803001208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750950499 | NPI | - | NPPES |
| Provider Name | Steven D Leman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790784197 PECOS PAC ID: 7618878851 Enrollment ID: I20040203000447 |
| Provider Name | Robert Keenan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558325654 PECOS PAC ID: 8426045162 Enrollment ID: I20040426001923 |
| Provider Name | Allison Leach Monroe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821098518 PECOS PAC ID: 5799767935 Enrollment ID: I20040602001103 |
| Provider Name | Marissa Rose Muscat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881690485 PECOS PAC ID: 3072585678 Enrollment ID: I20040812000455 |
| Provider Name | Michelle W Feeney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760472724 PECOS PAC ID: 5395707202 Enrollment ID: I20041102001253 |
| Provider Name | Andrew H Tang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639176282 PECOS PAC ID: 1254378219 Enrollment ID: I20050411001277 |
| Provider Name | Amy P Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013907096 PECOS PAC ID: 9830138049 Enrollment ID: I20050427000866 |
| Provider Name | Stefan Ernest Schunk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063473171 PECOS PAC ID: 1658314745 Enrollment ID: I20050609000492 |
| Provider Name | Dante Paloma Sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679632731 PECOS PAC ID: 4789620360 Enrollment ID: I20050705000992 |
| Provider Name | Barbara L Pidermann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578529830 PECOS PAC ID: 0042235657 Enrollment ID: I20051012001223 |
| Provider Name | Donald Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780679779 PECOS PAC ID: 8022032838 Enrollment ID: I20060119000670 |
| Provider Name | David R Young |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952321598 PECOS PAC ID: 7810992963 Enrollment ID: I20060922000347 |
| Provider Name | Jenifer E Norris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992765242 PECOS PAC ID: 0042313991 Enrollment ID: I20070313000568 |
| Provider Name | Leigh W Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821155623 PECOS PAC ID: 5496773806 Enrollment ID: I20070323000340 |
| Provider Name | Gregory B Tirdel |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1821080144 PECOS PAC ID: 9234237413 Enrollment ID: I20070626000322 |
| Provider Name | Marina Mulvey |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1497898043 PECOS PAC ID: 6800958877 Enrollment ID: I20081229000641 |
| Provider Name | Cathey R Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205083425 PECOS PAC ID: 1557416435 Enrollment ID: I20090827000865 |
| Provider Name | Kelly Vial |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447486295 PECOS PAC ID: 7012062375 Enrollment ID: I20090910000161 |
| Provider Name | Megan Frances Jewell |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588841712 PECOS PAC ID: 2668665589 Enrollment ID: I20101022000973 |
| Provider Name | Clayton Peter Josephy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194996405 PECOS PAC ID: 2062606460 Enrollment ID: I20101029000861 |
| Provider Name | Brooks Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205834306 PECOS PAC ID: 5799724902 Enrollment ID: I20110121000009 |
| Provider Name | Mark Harold Enker |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477600260 PECOS PAC ID: 2163562471 Enrollment ID: I20110426000635 |
| Provider Name | David Finnigan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871599852 PECOS PAC ID: 3779664347 Enrollment ID: I20120328000981 |
| Provider Name | Adam Ouimet |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699814681 PECOS PAC ID: 3072688407 Enrollment ID: I20121011000769 |
| Provider Name | Eric J Ewald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114157179 PECOS PAC ID: 8820249451 Enrollment ID: I20121108000124 |
| Provider Name | Tracy R Protell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629275235 PECOS PAC ID: 6406007905 Enrollment ID: I20121109000375 |
| Provider Name | Mary Rhonda Sneeringer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336350479 PECOS PAC ID: 4284701434 Enrollment ID: I20121109000394 |
| Provider Name | Janet Marie Goodall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376677344 PECOS PAC ID: 8729178702 Enrollment ID: I20130305000406 |
| Provider Name | Amanda Weavil |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841592037 PECOS PAC ID: 8527297092 Enrollment ID: I20140203000281 |
| Provider Name | Kimberly A Evans |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457518946 PECOS PAC ID: 5890926109 Enrollment ID: I20140331001487 |
| Provider Name | Clare Rudolph |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902117732 PECOS PAC ID: 6800025958 Enrollment ID: I20140711001645 |
| Provider Name | Nichole A Delaplante |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831344910 PECOS PAC ID: 9830215060 Enrollment ID: I20141106002038 |
| Provider Name | Steven L Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447258090 PECOS PAC ID: 4688615651 Enrollment ID: I20150211000267 |
| Provider Name | Andrew R Freedman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598766743 PECOS PAC ID: 7911990460 Enrollment ID: I20150317002096 |
| Provider Name | Jehad Haggiagi |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437420072 PECOS PAC ID: 1658502091 Enrollment ID: I20160620002180 |
| Provider Name | Tamara A Mcbride |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730518382 PECOS PAC ID: 8628366283 Enrollment ID: I20161013002036 |
| Provider Name | Rebecca K Phillipsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548596513 PECOS PAC ID: 7214246487 Enrollment ID: I20170518000619 |
| Provider Name | Matthew P Wonnacott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144214495 PECOS PAC ID: 5496067423 Enrollment ID: I20170522002601 |
| Provider Name | Jean-claude Bassila |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1487817854 PECOS PAC ID: 6204065220 Enrollment ID: I20180627000513 |
| Provider Name | William R Shepard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1427310895 PECOS PAC ID: 9032439096 Enrollment ID: I20190110000492 |
| Provider Name | Sierra C Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417442419 PECOS PAC ID: 0547500670 Enrollment ID: I20190327000920 |
| Provider Name | Choua N Thao |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1053653576 PECOS PAC ID: 6901128081 Enrollment ID: I20190715001832 |
| Provider Name | Bradley Wayne Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851785976 PECOS PAC ID: 3072820307 Enrollment ID: I20191218001861 |
| Provider Name | Jacob T Marquette |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649659772 PECOS PAC ID: 0345591681 Enrollment ID: I20200107002797 |
| Provider Name | Grace Harding |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770962920 PECOS PAC ID: 8921350638 Enrollment ID: I20200108002875 |
| Provider Name | Holly Burnam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487201091 PECOS PAC ID: 9537594973 Enrollment ID: I20200114000498 |
| Provider Name | Faye M. Smith-chakmakova |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831411933 PECOS PAC ID: 3375761539 Enrollment ID: I20200123001200 |
| Provider Name | Elke Houser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558600122 PECOS PAC ID: 2466790944 Enrollment ID: I20200219002472 |
| Provider Name | Leah Krull |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508132093 PECOS PAC ID: 9335451301 Enrollment ID: I20200319000975 |
| Provider Name | Alexander Reza Manteghi |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1225322423 PECOS PAC ID: 5496058323 Enrollment ID: I20200507002894 |
| Provider Name | Natasa Bratislav Dragicevic |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124386156 PECOS PAC ID: 9830476654 Enrollment ID: I20200918001333 |
| Provider Name | Tyler Alan Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467800243 PECOS PAC ID: 9638464597 Enrollment ID: I20201104000184 |
| Provider Name | Jason Crowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871862565 PECOS PAC ID: 5597917427 Enrollment ID: I20201118001665 |
| Provider Name | Girish Singhania |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558660217 PECOS PAC ID: 8527297100 Enrollment ID: I20210426000252 |
| Provider Name | Lauren Tracy Wills Zeffaro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811590813 PECOS PAC ID: 4587073432 Enrollment ID: I20210506000963 |
| Provider Name | Leah Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922643386 PECOS PAC ID: 7517392715 Enrollment ID: I20210611001207 |
| Provider Name | Sergei Robinson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740672708 PECOS PAC ID: 6002120854 Enrollment ID: I20210615002677 |
| Provider Name | Kathleen Holoyda |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1427348473 PECOS PAC ID: 3476785734 Enrollment ID: I20210824001804 |
| Provider Name | Matthew Mullen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780358929 PECOS PAC ID: 7012315856 Enrollment ID: I20211008002708 |
| Provider Name | Azadeh Brumand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710365689 PECOS PAC ID: 6901199892 Enrollment ID: I20211025002811 |
| Provider Name | Keri Storey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295225084 PECOS PAC ID: 1254681901 Enrollment ID: I20211130002477 |
| Provider Name | Elisabeth Nigrini |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689776684 PECOS PAC ID: 3779637244 Enrollment ID: I20211217000215 |
| Provider Name | Jonathan Evan Marcus |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1619002888 PECOS PAC ID: 2769573849 Enrollment ID: I20211220001540 |
| Provider Name | Maria Mcgurrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306422779 PECOS PAC ID: 3072906171 Enrollment ID: I20220214002095 |
| Provider Name | Laura Jensen Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578216818 PECOS PAC ID: 9739569104 Enrollment ID: I20220630002933 |
| Provider Name | Keith John Tanenbaum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477169605 PECOS PAC ID: 3779968912 Enrollment ID: I20220923001787 |
| Provider Name | Stephen Chipman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992734057 PECOS PAC ID: 7315973120 Enrollment ID: I20221026002301 |
| Provider Name | Anna Marie Petersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174245021 PECOS PAC ID: 4385013010 Enrollment ID: I20221219002596 |
| Provider Name | Molly Dowd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093424368 PECOS PAC ID: 6709256233 Enrollment ID: I20221228000819 |
| Provider Name | Miriam R Locke |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225455157 PECOS PAC ID: 1951645134 Enrollment ID: I20230317002464 |
| Provider Name | Megan Galloway |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1376053702 PECOS PAC ID: 6800158809 Enrollment ID: I20230322002967 |
| Provider Name | Salil Kalra |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275983744 PECOS PAC ID: 6002109329 Enrollment ID: I20230405002713 |
| Provider Name | Aubrey Demajh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467807958 PECOS PAC ID: 3072860543 Enrollment ID: I20230608001337 |
| Provider Name | Jeffrey Sadowsky |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1275517336 PECOS PAC ID: 9638100035 Enrollment ID: I20230614003300 |
| Provider Name | Shilpa Gadde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336450964 PECOS PAC ID: 7214179019 Enrollment ID: I20230621002832 |
| Provider Name | Meagan Marshall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265052849 PECOS PAC ID: 8820410137 Enrollment ID: I20230830003348 |
| Provider Name | Audrey Jean Dasilva |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548897119 PECOS PAC ID: 3779981618 Enrollment ID: I20230901003044 |
| Provider Name | Shoaib Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255651477 PECOS PAC ID: 8527208040 Enrollment ID: I20240118000001 |
| Provider Name | Sofiya Rehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528406923 PECOS PAC ID: 5395043277 Enrollment ID: I20240226002388 |
Abby Cohen Md A Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2209 South Ave, Suite B, South Lake Tahoe, CA 96150 Phone: 530-541-3286 Fax: 530-541-2005 | |
Barton Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5623 Fax: 530-541-5738 | |
Barton Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1090 3rd St, Ste 1, South Lake Tahoe, CA 96150 Phone: 530-543-5660 Fax: 530-542-1619 | |
Henning Mehrens, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2130 Lake Tahoe Blvd, South Lake Tahoe, CA 96150 Phone: 530-541-3277 Fax: 530-541-6913 | |
El Dorado County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1360 Johnson Blvd, Suite 103, South Lake Tahoe, CA 96150 Phone: 530-573-3156 | |
Peak Medical Tahoe Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2229 Barton Ave, South Lake Tahoe, CA 96150 Phone: 530-539-4781 Fax: 530-238-6403 | |
Bmhcc - Family Planning Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5623 |