MEDICARE: MR. MICHAEL MCFARLAND KNOTT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	C36386	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235169152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL MCFARLAND KNOTT MD

Provider Business Mailing Address
First Line	:	PO BOX 5577
Second Line	:	1733 TAHOE PARK HEIGHTS DRIVE
City	:	TAHOE CITY
State	:	CA
Zip	:	96145-5577
Country	:	US
Telephone Number	:	530-448-9668
Fax Number	:	530-583-0709

Provider Business Practice Location Address
First Line	:	1733 TAHOE PARK HEIGHTS DRIVE
Second Line	:
City	:	TAHOE CITY
State	:	CA
Zip	:	96145-5577
Country	:	US
Telephone Number	:	530-448-9668
Fax Number	:	530-583-0709

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/04/2006
Last Update Date	:	07/22/2011

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