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EMERALD BAY CENTER FOR WOMEN'S HEALTH, INC.
NPI 1164679940
Obstetrics & Gynecology in South Lake Tahoe, CA

Active since August 22, 2008
1154 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150(530) 542-4961(530) 542-4964 Get Directions Write a Review

NPPES record last updated: July 30, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Emerald Bay Center For Women's Health, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMERALD BAY CENTER FOR WOMEN'S HEALTH, INC. (NPI 1164679940) is a healthcare organization registered as an obstetrics & gynecology in South Lake Tahoe, California and active in the NPI registry since August 2008. The organization lists M. Kelly Shanahan, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1164679940
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameEMERALD BAY CENTER FOR WOMEN'S HEALTH, INC.
Location Address1154 EMERALD BAY RDSouth Lake Tahoe, CA 96150-6288
Mailing Address1154 Emerald Bay RdSouth Lake Tahoe, CA 96150-6288 · (530) 542-4961 · Fax (530) 542-4964
Phone(530) 542-4961
Fax(530) 542-4964
Organization SubpartNo
Authorized OfficialM. Kelly ShanahanPhysician/owner · (530) 542-4961
Enumeration DateAugust 22, 2008
Last NPPES UpdateJuly 30, 2013
✔ NPI 1164679940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1154 EMERALD BAY RD, South Lake Tahoe, CA 96150
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Other Identifiers 2

Medicare PINCO773ACA
Medicare PINCO774ANV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORGE PEREZ MD LTD
Internal Medicine (Hematology & Oncology)
1154 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (775) 883-3336
MS. PATIENCE WENCK FNP
Nurse Practitioner (Family)
1154 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 542-4961
DR. MARY KELLY SHANAHAN MD
Obstetrics & Gynecology
1154 EMERALD BAY RD
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 542-4961

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emerald Bay Center For Women's Health, Inc.'s NPI number?

The NPI number for Emerald Bay Center For Women's Health, Inc. is 1164679940. It was assigned to this organization in the NPPES registry on August 22, 2008.

Where is Emerald Bay Center For Women's Health, Inc. located?

Emerald Bay Center For Women's Health, Inc. is located at 1154 Emerald Bay Rd, South Lake Tahoe, CA 96150. The listed phone number is (530) 542-4961.

What is Emerald Bay Center For Women's Health, Inc.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Emerald Bay Center For Women's Health, Inc. was last updated on July 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.