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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA943 | NV | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CAQH | 12780456 | 01 | |
NV | RAILROAD MEDICARE | P00426676 | 01 |
Street Address |
10085 DOUBLE R BLVD STE 310 |
City | RENO |
State | NV |
Zip Code | 89521 |
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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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 |
Find all providers in zip 89521 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
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. |
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 |
Find all providers in RENO |
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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.