MR. BENJAMIN DALE PROHASKA


Address: 10085 Double R Blvd, Ste 310, Reno, NV 89521
Phone: 7759827260

MR. BENJAMIN DALE PROHASKA (NPI# 1174652143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174652143
Entity Type Individual
Full Name MR. BENJAMIN DALE PROHASKA
Credential PHYSICIAN ASSISTANT
Practice Address 10085 Double R Blvd
Ste 310
Reno
NV 89521
Mailing Address 665 Sierra Rose Dr
Reno
NV 89511-2060
Practice Telephone 7759827260
Practice Fax Number 7759827268
Mailing Telephone 7757866770
Enumeration Date 2007-03-05
Last Update Date 2020-03-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA943 NV Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CAQH 12780456 01
NV RAILROAD MEDICARE P00426676 01

Office Location

Street Address 10085 DOUBLE R BLVD
STE 310
City RENO
State NV
Zip Code 89521

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083687255 Heather M. Hockenberry Family Medicine 10085 Double R Blvd, Suite 120, Reno, NV 89521-5860 2006-02-08
1871193300 Allison Dawn Basta Family Medicine 10085 Double R Blvd, Reno, NV 89521-5860 2020-10-26
1679026082 Elizabeth Louise Brinkley Pateta Specialist/Technologist 10085 Double R Blvd, Suite 300, Reno, NV 89521-5860 2016-08-02
1295180735 Community Care Services LLC Clinic/Center 10085 Double R Blvd, Ste 225, Reno, NV 89521-5860 2016-05-03
1780064899 Hanna Erin Sauer Nurse Practitioner 10085 Double R Blvd, Suite 120, Reno, NV 89521-5860 2015-06-03
1326457953 Caitlin Marie Bus Dietitian, Registered 10085 Double R Blvd, Ste 205, Reno, NV 89521-5860 2014-08-07
1588901359 Nitesh D Kuhadiya Internal Medicine 10085 Double R Blvd, Suite 310, Reno, NV 89521-5860 2013-01-13
1407158900 Northern Nevada Surgical Associates, LLC Surgery 10085 Double R Blvd, 205, Reno, NV 89521-5860 2010-12-03
1679899892 Henrik Slots Family Medicine 10085 Double R Blvd, Ste 120, Reno, NV 89521-5860 2010-04-13
1417197195 Routt Dialysis LLC Clinic/Center 10085 Double R Blvd, Ste 160, Reno, NV 89521-5860 2009-02-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003266032 Matthew Gordon Family Medicine 10539 Professional Cir Ste 200, Reno, NV 89521 2016-06-21
1003297219 Erin Snell Social Worker 2374 Cartwright Rd, Reno, NV 89521 2015-06-12
1649696766 Passport Health Holdings, LLC. Preventive Medicine 9190 Double Diamond Parkway, # 131, Reno, NV 89521 2014-03-13
1538585146 Francis Thomas Webb Chiropractor 9393 Gateway Drive, Suite L, Reno, NV 89521 2014-03-07
1811336753 Hans Peter Gray Dentist 1141 Steamboat Pkwy Ste 900, Reno, NV 89521 2013-06-24
1194162990 Nevada Speech and Therapy Group Speech-Language Pathologist 1380 High Chaparral Drive, Reno, NV 89521 2013-06-03
1881934834 Cindy Lynn Barnes Occupational Therapist 1600 Mountain Lane, Reno, NV 89521 2013-02-27
1508105016 Shannon Marie Servi Social Worker 9060 Double Diamond Pkwy # 2-b, Reno, NV 89521 2013-02-04
1376853028 Steven Michael Bilach Specialist/Technologist, Other 15025 Tourmaline Dr, Reno, NV 89521 2010-10-15
1528377512 Kendra Brooks Newsome Behavioral Analyst 9408 Double R. Suite B, Reno, NV 89521 2010-09-24
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407474695 Katherine Lynn Mauldin Physician Assistant Redfield Campus Nell J. Redfield Bldg. A Suite 104, 18600 Wedge Parkway, Reno, NV 89511 2020-07-14
1497370514 Jantima Shannon Becker Physician Assistant 1060 Crosswater Dr, Reno, NV 89523-7100 2020-06-15
1073148508 Megan Marie Brandon Physician Assistant 236 W 6th St Ste 3, Reno, NV 89503-4517 2020-03-05
1487216719 Abigail Freeman Physician Assistant 10745 Double R Blvd # 13, Reno, NV 89521-8979 2019-07-08
1902465321 Michael Edward Callahan Physician Assistant 10509 Professional Cir Ste 101, Reno, NV 89521-4883 2019-06-10
1821656174 Samantha Audrey Mcdougal Physician Assistant 450 Haleb Ct, Reno, NV 89521-8345 2019-06-02
1588039085 Stat Wound Care Services LLC Physician Assistant 4790 Caughlin Pkwy # 379, Reno, NV 89519-0907 2015-12-09
1174998702 Adeo Wound Services LLC Physician Assistant 4790 Caughlin Pkwy # 380, Reno, NV 89519-0907 2015-12-08
1649640814 Aleah Kristin Hartung Physician Assistant 960 Caughlin Xing, #100, Reno, NV 89519-0611 2015-09-30
1235422304 Ashley L Thompson Physician Assistant 1075 N Hills Blvd Ste 180, Reno, NV 89506-6799 2011-05-24
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Competitor

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City RENO
Zip Code 89521

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Dataset Information

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.

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