| Carson Valley Medical Center Rural Health Clinic | |
|
1520 Virginia Ranch Rd Gardnerville NV 89410-5731 | |
| (775) 782-1550 | |
| (775) 782-1513 |
| Full Name | Carson Valley Medical Center Rural Health Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 1520 Virginia Ranch Rd, Gardnerville, Nevada |
| Authorized Official Name and Position | Jeffrey Prater (CEO) |
| Authorized Official Contact | 7757821500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carson Valley Medical Center Rural Health Clinic 1520 Virginia Ranch Road Gardnerville NV 89410-5731 Ph: (775) 782-1550 | Carson Valley Medical Center Rural Health Clinic 1520 Virginia Ranch Rd Gardnerville NV 89410-5731 Ph: (775) 782-1550 |
| NPI Number | 1174708879 |
|---|---|
| Provider Enumeration Date | 01/01/2008 |
| Last Update Date | 12/02/2019 |
| Medicare PECOS PAC ID | 2860579984 |
|---|---|
| Medicare Enrollment ID | O20080414000239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174708879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ralph Herbig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700972429 PECOS PAC ID: 0143112938 Enrollment ID: I20040326000614 |
| Provider Name | Rose E Paiva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902839475 PECOS PAC ID: 6002807625 Enrollment ID: I20040521000990 |
| Provider Name | Evan W Easley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851397459 PECOS PAC ID: 6103808886 Enrollment ID: I20040607000864 |
| Provider Name | Kara L Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649340738 PECOS PAC ID: 6709869985 Enrollment ID: I20040609000732 |
| Provider Name | Stephen T Hewitt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023015849 PECOS PAC ID: 4789674425 Enrollment ID: I20040719000610 |
| Provider Name | Robin Y Tomita |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952392334 PECOS PAC ID: 7012964208 Enrollment ID: I20050330001269 |
| Provider Name | Judith E Rosso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346246949 PECOS PAC ID: 0042266009 Enrollment ID: I20050519000730 |
| Provider Name | Garrett D Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578569174 PECOS PAC ID: 0042257008 Enrollment ID: I20050527000042 |
| Provider Name | James A Cunningham |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912036740 PECOS PAC ID: 8123914330 Enrollment ID: I20051128000369 |
| Provider Name | Lars D Ensign |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750389862 PECOS PAC ID: 4284535428 Enrollment ID: I20070504000187 |
| Provider Name | Mark T Brune |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093723140 PECOS PAC ID: 8426132531 Enrollment ID: I20080228000167 |
| Provider Name | Leslie M Mcgraw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922074335 PECOS PAC ID: 4082791892 Enrollment ID: I20080403000300 |
| Provider Name | Colleen Marie Kriss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891829487 PECOS PAC ID: 6204999758 Enrollment ID: I20090110000064 |
| Provider Name | Cynthia Lynn Veal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508005331 PECOS PAC ID: 2860538329 Enrollment ID: I20091014000270 |
| Provider Name | Susan L Knowles |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1750583092 PECOS PAC ID: 4183778152 Enrollment ID: I20120727000603 |
| Provider Name | Alfred Phillips |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073503462 PECOS PAC ID: 3274710264 Enrollment ID: I20120913000175 |
| Provider Name | Targhee O Oeveraas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578792156 PECOS PAC ID: 8921257064 Enrollment ID: I20121004000259 |
| Provider Name | Glenn R Thorp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235217944 PECOS PAC ID: 2668653155 Enrollment ID: I20150417000400 |
| Provider Name | Tilda K Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942676424 PECOS PAC ID: 2062720873 Enrollment ID: I20150928002839 |
| Provider Name | Gay L Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235547928 PECOS PAC ID: 5294024287 Enrollment ID: I20160513001635 |
| Provider Name | Hannah Taft |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053725069 PECOS PAC ID: 8729205679 Enrollment ID: I20170919002547 |
| Provider Name | Leah Krull |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1508132093 PECOS PAC ID: 9335451301 Enrollment ID: I20180717004099 |
| Provider Name | Maggie Savannah Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649813692 PECOS PAC ID: 8527492503 Enrollment ID: I20191227001909 |
| Provider Name | Danielle Treadway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831717925 PECOS PAC ID: 7012333099 Enrollment ID: I20200820003463 |
| Provider Name | Stephanie Ann Prather |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336758846 PECOS PAC ID: 4385061399 Enrollment ID: I20200903003680 |
| Provider Name | Daniel R Sparks |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063432201 PECOS PAC ID: 5395884829 Enrollment ID: I20210715003259 |
| Provider Name | Lisa Marie Mckinney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962086041 PECOS PAC ID: 2365844008 Enrollment ID: I20210716002090 |
| Provider Name | Amy E Aspenleiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669053583 PECOS PAC ID: 6608279682 Enrollment ID: I20210728002745 |
| Provider Name | Drew Blumberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821452715 PECOS PAC ID: 1557617081 Enrollment ID: I20210803003686 |
| Provider Name | Jessica Bianca Peppitoni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720748379 PECOS PAC ID: 7315330701 Enrollment ID: I20220208000209 |
| Provider Name | Lindsey Diane Wharton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760149579 PECOS PAC ID: 1759775612 Enrollment ID: I20220218002006 |
| Provider Name | Tarasita Kilmartin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891446449 PECOS PAC ID: 1951798115 Enrollment ID: I20220419000392 |
| Provider Name | Sarah Dawnell Kolbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023753530 PECOS PAC ID: 2668851478 Enrollment ID: I20220624002592 |
| Provider Name | Vadim A Gladwill |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093275307 PECOS PAC ID: 3274865803 Enrollment ID: I20220912003534 |
| Provider Name | Mohammad Ikram Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780145631 PECOS PAC ID: 1759714728 Enrollment ID: I20220915001966 |
| Provider Name | Ida Marie Redican |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720714850 PECOS PAC ID: 5799160404 Enrollment ID: I20220916000762 |
| Provider Name | Brandon Langston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043941859 PECOS PAC ID: 2769858885 Enrollment ID: I20221014000828 |
| Provider Name | Jennifer Eve Galimba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487384236 PECOS PAC ID: 0244606861 Enrollment ID: I20221021001012 |
| Provider Name | Alicia Haines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396471678 PECOS PAC ID: 5193192722 Enrollment ID: I20221110000788 |
| Provider Name | Sukhmanjot Kaur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548880719 PECOS PAC ID: 1658738216 Enrollment ID: I20230613002042 |
| Provider Name | Ryan Lonell Johnson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447879259 PECOS PAC ID: 5597178988 Enrollment ID: I20230804002769 |
| Provider Name | Corey Holt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306461090 PECOS PAC ID: 8921475385 Enrollment ID: I20230815004274 |
| Provider Name | Melissa Mcpherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235822461 PECOS PAC ID: 9830552298 Enrollment ID: I20230831004343 |
| Provider Name | Michele Ting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396424636 PECOS PAC ID: 6901251818 Enrollment ID: I20231012003285 |
| Provider Name | Casey Danelle Driscoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063261600 PECOS PAC ID: 2860939196 Enrollment ID: I20240805003148 |
| Provider Name | Leticia Angelica Montes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912743956 PECOS PAC ID: 8628516614 Enrollment ID: I20240821004587 |
| Provider Name | Gabrielle Louise Rampazi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639910961 PECOS PAC ID: 7214478718 Enrollment ID: I20240924004251 |
| Provider Name | Stephanie Lois Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205660479 PECOS PAC ID: 6800328451 Enrollment ID: I20241021001961 |
Washoe Tribe Of Nevada And California Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1559 Watasheamu, Gardnerville, NV 89460 Phone: 775-265-4215 Fax: 775-265-6071 | |
Qsmedico Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107 Us Highway 395 N, Gardnerville, NV 89410 Phone: 702-453-3799 Fax: 702-453-5741 | |
Thais Sierra Pacific Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1107 Us Highway 395 N, Gardnerville, NV 89410 Phone: 702-453-3799 Fax: 702-453-5741 | |
Gd Schwartz Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107 Highway 395, Carson Valley Medical Center, Gardnerville, NV 89410 Phone: 775-901-1944 | |
Washoe Tribe Of Nevada And California Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1559 Watasheamu, Gardnerville, NV 89460 Phone: 775-265-4215 Fax: 775-265-6071 | |
Motion Medical Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1328 Us Highway 395 N Ste 305, Gardnerville, NV 89410 Phone: 775-392-4545 Fax: 775-392-4547 |