MEDICARE: CARSON TAHOE RADIATION ONCOLOGY ASSOCIATES

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	2085R0001X	Radiation Oncology Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	V35678	OTHER	NV	MEDICARE PTAN

General Provider Information

NPI Number	:	1427099290
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARSON TAHOE RADIATION ONCOLOGY ASSOCIATES

Provider Business Mailing Address
First Line	:	1535 MEDICAL PKWY STE A
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89703-4637
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1535 MEDICAL PKWY STE A
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89703-4637
Country	:	US
Telephone Number	:	775-883-5505
Fax Number	:	775-883-6779

Authorized Official
Title or Position	:	OWNER
Name	:	CELINE ORD
Credential	:	MD
Telephone Number	:	775-883-5505

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	02/23/2026

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