Provider Demographics
NPI:1235169152
Name:KNOTT, MICHAEL MCFARLAND (MD)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:MCFARLAND
Last Name:KNOTT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5577
Mailing Address - Street 2:1733 TAHOE PARK HEIGHTS DRIVE
Mailing Address - City:TAHOE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:96145-5577
Mailing Address - Country:US
Mailing Address - Phone:530-448-9668
Mailing Address - Fax:530-583-0709
Practice Address - Street 1:1733 TAHOE PARK HEIGHTS DRIVE
Practice Address - Street 2:
Practice Address - City:TAHOE CITY
Practice Address - State:CA
Practice Address - Zip Code:96145-5577
Practice Address - Country:US
Practice Address - Phone:530-448-9668
Practice Address - Fax:530-583-0709
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC36386207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C363860Medicaid
A36246Medicare UPIN
CA00C363860Medicare PIN