Organization
TAHOE ORTHOPEDICS & SPORTS MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE E SWANSON MD (PRESIDENT)
(530) 543-5554
Entity
Organization
Contact information
Practice address
2170B SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7026
(530) 543-5554
(530) 541-3016
Mailing address
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7026
(530) 543-5659
(530) 541-8723
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
CA
207XS0106X
Orthopaedic Hand Surgery Physician
—
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
CA
208100000X
Physical Medicine & Rehabilitation Physician
—
CA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
CA
225X00000X
Occupational Therapist
—
CA
363A00000X
Physician Assistant
—
CA
Other
Enumeration date
10/05/2009
Last updated
06/12/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us