DR. MATTHEW GREGORY PROHASKA JR. (NPI# 1164740627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164740627 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW GREGORY PROHASKA JR. |
| Credential | M.D. |
| Practice Address |
1315 Hospital Dr Nvrh Orthopaedics St Johnsbury VT 05819-9210 |
| Mailing Address |
Po Box 905 Nvrh Orthopaedics St Johnsbury VT 05819-0905 |
| Practice Telephone | 8027488141 |
| Mailing Telephone | 8027488141 |
| Enumeration Date | 2010-05-08 |
| Last Update Date | 2015-07-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 042-0013063 | VT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3100897 | 05 | |
| VT | 1024556 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679528400 | Matthew Gregory Prohaska | Family Medicine | 4330 Collettsville Rd, Collettsville, NC 28611-9000 | 2006-05-23 |
| Street Address |
1315 HOSPITAL DR NVRH ORTHOPAEDICS |
| City | ST JOHNSBURY |
| State | VT |
| Zip Code | 05819-9210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275531477 | Robert J Grant | Emergency Medicine | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2005-07-12 |
| 1083245963 | Kevin M Crawley | Dietitian, Registered | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2020-01-30 |
| 1942778717 | Jessica Foulke | Nurse Practitioner | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2018-11-08 |
| 1548770191 | Courtenay Allen Lahey | Nurse Practitioner | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2017-10-10 |
| 1013430511 | Northeastern Vermont Regional Hospital, Inc | Internal Medicine | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2017-07-18 |
| 1386184372 | Kelly Lemieux | Nurse Practitioner | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2017-02-24 |
| 1073973236 | Jennifer K Winings | Physician Assistant | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-03-02 |
| 1154781268 | Nicholas Delaney | Nurse Practitioner | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-03-02 |
| 1003275397 | Katherine A. Harris | Social Worker | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-02-16 |
| 1386001345 | Leah Marie Pearl | Nurse Anesthetist, Certified Registered | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2016-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710457353 | Amber L Carrasquillo | Pharmacist | 438 Railroad St Apt 301, Saint Johnsbury, VT 05819 | 2018-11-27 |
| 1700378734 | Laura Amy Nixon | Physician Assistant | 41 Sherman Drive, St. Johnsbury, VT 05819 | 2018-06-05 |
| 1447797873 | Kingdom Autism and Behavioral Health, LLC | Behavioral Analyst | 397 Railroad Street, Suite Number #4, St. Johnsbury, VT 05819 | 2017-01-24 |
| 1407211493 | Scott Rosemark | Pharmacist | 957 Memorial Drive, Saint Johnsbury, VT 05819 | 2015-12-18 |
| 1134541295 | Meghan Davis | Counselor | 231 Concord Ave Ste 2, St Johnsbury, VT 05819 | 2014-01-09 |
| 1639490279 | Carol Lynn Smith | Counselor | 445 Portland St, St. Johnsbury, VT 05819 | 2010-06-17 |
| 1548435696 | Philip Lightbear | Counselor | 108 Cherry Street Suite 1, St Johnsburg, VT 05819 | 2008-04-29 |
| 1740452416 | Kimberly Dena Lightbear | Counselor | 108 Cherry Street, St Johnsbury, VT 05819 | 2008-04-02 |
| 1720262249 | Deborah B Goldberg | Psychologist | 1194 Main Street, Suite 107, St Johnsbury, VT 05819 | 2007-12-19 |
| 1154501880 | Mary Jane Egerton | Social Worker | 506 Tripp Lane, St Johnsburg, VT 05819 | 2007-11-09 |
| Find all providers in zip 05819 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407297849 | Jeremy Korsh | Orthopaedic Surgery | 41 Sherman Dr, St Johnsbury, VT 05819-9280 | 2013-07-15 |
| 1912918889 | Craig D Dreisbach | Orthopaedic Surgery | 1315 Hospital Dr, St Johnsbury, VT 05819-9210 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831518497 | Russell Davignon | Orthopaedic Surgery | 225 Westwood Dr, Montpelier, VT 05602-8453 | 2014-04-10 |
| 1558535989 | Sara Catherine Graves | Orthopaedic Surgery | 130 Fisher Rd, Mob-b, Ste 4, Cvmc Orthopedics & Sports Medicine, Berlin, VT 05602-9516 | 2008-04-16 |
| 1669677043 | Northwestern Medical Center, Inc. | Orthopaedic Surgery | 133 Fairfield St Ste 101, Saint Albans, VT 05478-1726 | 2007-06-18 |
| 1194804096 | Associates In Orthopaedic Surgery, PC | Orthopaedic Surgery | 6 San Remo Drive, Suite 101, South Burlington, VT 05461 | 2006-11-03 |
| 1093725756 | Philip Wesley Hershberger | Orthopaedic Surgery | Va Hospital 215 N Heartland St, White River Junction, VT 05009-0001 | 2006-08-08 |
| 1659391662 | Donald Kinley | Orthopaedic Surgery | Exit One Park, 71 Gsp Drive, Brattleboro, VT 05302 | 2006-07-20 |
| 1609896117 | Claude Nichols | Orthopaedic Surgery | 795 College Parkway, Colchester, VT 05446 | 2006-07-20 |
| 1184655805 | Denise M Durant | Orthopaedic Surgery | 120 Zephyr Rd, Williston, VT 05495-7558 | 2006-07-05 |
| 1376587634 | Copley Hospital, Inc. | Orthopaedic Surgery | 555 Washington Hwy, Morrisville, VT 05661-8973 | 2006-06-16 |
| 1437193042 | John Turner Chard | Orthopaedic Surgery | 71 Gsp Dr., Brattleboro, VT 05302 | 2006-06-15 |
| Find all providers with the same taxonomy | ||||
| City | ST JOHNSBURY |
| Zip Code | 05819 |
Please comment or provide details below to improve the information on DR. MATTHEW GREGORY PROHASKA JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.