MEDICARE: STEVEN J. MCNAMARA 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	390200000X	Student in an Organized Health Care Education/Training Program
2	207P00000X	Emergency Medicine Physician	A159373	CA

General Provider Information

NPI Number	:	1659704583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN J. MCNAMARA MD

Provider Business Mailing Address
First Line	:	PO BOX 137
Second Line	:
City	:	ZEPHYR COVE
State	:	NV
Zip	:	89448-0137
Country	:	US
Telephone Number	:	503-494-8220
Fax Number	:

Provider Business Practice Location Address
First Line	:	2170 SOUTH AVENUE
Second Line	:
City	:	SO LAKE TAHOE
State	:	CA
Zip	:	96150-7026
Country	:	US
Telephone Number	:	530-541-3420
Fax Number	:

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

Provider Enumeration Date	:	08/14/2013
Last Update Date	:	11/14/2019

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