Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tahoe Fracture & Orthopedic Medical Clinic, Inc

Organization Orthopaedic Surgery Physician · NPI 1750372140

Tahoe Fracture & Orthopedic Medical Clinic, Inc is an Orthopaedic Surgery Physician in Carson City, Nevada. Licensed in Nevada. Registered with an NPI since 2005.

Licensed in
NV
In the registry since
2005
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

973 Mica Dr Ste 201
Carson City, NV 89705-7255
Phone: (775) 783-6190
Fax: (775) 783-6191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Orthopaedic Hand Surgery Physician Taxonomy 207XS0106X
Orthopaedic Surgery of the Spine Physician Taxonomy 207XS0117X
Foot & Ankle Surgery Podiatrist Taxonomy 213ES0103X · Licence 1006 (NV)
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1750372140
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Cummings — Physician/Partner · (775) 783-6190
NPI enumeratedNovember 3, 2005
Last updated in NPPESOctober 12, 2011
Mailing address973 Mica Dr, Suite 201, Carson City, NV 89705-7255

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