COMMUNITY CARE SERVICES LLC (NPI# 1053882589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053882589 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE SERVICES LLC |
| Practice Address |
901 E 2nd St Ste 307 Reno NV 89502-1178 |
| Mailing Address |
850 Harvard Way Reno NV 89502-2055 |
| Practice Telephone | 7759825000 |
| Practice Fax Number | 7759823901 |
| Mailing Telephone | 7759825966 |
| Mailing Fax Number | 7759825496 |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |
| Authorized Official Name | DAWN D AHNER (EVP AND CHIEF ADMIN OFFICER) |
| Authorized Official Telephone | 7759824404 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY CARE SERVICES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Renown Medical Group Women's Health | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10085 Double R Blvd Ste 255, Reno, NV 895213856 | 7759825000 | 7759827231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891236840 | Community Care Services LLC | Counselor | 7356 Garners Ferry Rd Ste 130, Columbia, SC 29209-2146 | 2017-03-10 |
| 1538534037 | Community Care Services LLC | Exclusive Provider Organization | 1070 Henslow Ave N, Oakdale, MN 55128-5858 | 2015-12-09 |
| 1336746551 | Community Care Services LLC | Counselor | 75 Pringle Way Ste 300, Reno, NV 89502-8425 | 2020-10-01 |
| 1083178065 | Community Care Services LLC | Emergency Medicine | 1155 Mill St, Reno, NV 89502-1576 | 2019-01-24 |
| 1952872384 | Community Care Services LLC | Internal Medicine | 1155 Mill St, Reno, NV 89502-1576 | 2018-12-11 |
| 1851862288 | Community Care Services LLC | Pediatrics | 1343 Newlands Dr W, Fernley, NV 89408-8926 | 2018-12-11 |
| 1497226823 | Community Care Services LLC | Psychiatry & Neurology | 75 Pringle Way Ste 300, Reno, NV 89502-8425 | 2018-12-11 |
| 1306317730 | Community Care Services LLC | Internal Medicine | 75 Pringle Way Ste 801, Reno, NV 89502-8400 | 2018-12-11 |
| 1932670478 | Community Care Services LLC | Psychologist | 85 Kirman Ave Ste 200, Reno, NV 89502-1339 | 2018-12-10 |
| 1841761384 | Community Care Services LLC | Internal Medicine | 1500 E 2nd St Ste 201, Reno, NV 89502-1196 | 2018-12-10 |
| Street Address |
901 E 2ND ST STE 307 |
| City | RENO |
| State | NV |
| Zip Code | 89502-1178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184830085 | Robin Hollen | Registered Nurse | 901 E 2nd St Ste 307, Reno, NV 89502-1178 | 2007-05-15 |
| 1255714119 | Mariko Crum Rajamand | Obstetrics & Gynecology | 901 E 2nd St Ste 307, Reno, NV 89502 | 2015-07-09 |
| 1659781367 | Lindsay Bridgewater | Obstetrics & Gynecology | 901 E 2nd St Ste 307, Reno, NV 89502 | 2014-05-02 |
| 1477992204 | Sarah Margaret Coulter Mckenzie | Obstetrics & Gynecology | 901 E 2nd St Ste 307, Reno, NV 89502-1178 | 2013-06-14 |
| 1225382161 | Jennifer Ziock-price | Obstetrics & Gynecology | 901 E 2nd St Ste 307, Reno, NV 89502-1178 | 2012-10-30 |
| 1710298435 | Helen Otteno | Obstetrics & Gynecology | 901 E 2nd St Ste 307, Reno, NV 89502-1178 | 2010-06-28 |
| 1922248400 | Ralph Narinedhat | Obstetrics & Gynecology | 901 E 2nd St Ste 307, Reno, NV 89502-1178 | 2009-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134356348 | Arathi Veeraswamy | Obstetrics & Gynecology | 790 Willow St, Reno, NV 89502-1304 | 2009-06-15 |
| 1134387434 | Cara Anne Streit | Obstetrics & Gynecology | 645 North Arlington, Suite 555, Reno, NV 89503-4452 | 2008-05-23 |
| 1316127889 | Wagner Alfio Veronese Jr. | Obstetrics & Gynecology | 10085 Double R Blvd Ste 255, Reno, NV 89521 | 2007-11-13 |
| 1376723213 | Lexey Shuron Parker | Obstetrics & Gynecology | 4005 Plateau Road, Reno, NV 89519 | 2007-11-08 |
| 1497948236 | Martin E. Dennis, Md PC | Obstetrics & Gynecology | 3664 Spirit Bluff Ct, Reno, NV 89511-5321 | 2007-08-24 |
| 1356461917 | Martin E Dennis Md PC | Obstetrics & Gynecology | 1865 Plumas St Ste 1, Reno, NV 89509-3386 | 2007-03-29 |
| 1831215490 | Sierra Women's Health | Obstetrics & Gynecology | 1500 E 2nd St Ste 202, Reno, NV 89502-1196 | 2007-03-22 |
| 1386723443 | Mark Patrick Schumacher | Obstetrics & Gynecology | 236 W 6th St Ste 304, Reno, NV 89503-4517 | 2006-11-02 |
| 1992888283 | Ob-gyn Associates | Obstetrics & Gynecology | 645 N. Arlington Ave., Ste. 400, Reno, NV 89503-4451 | 2006-10-23 |
| 1629167846 | Neda Etezadi - Amoli | Obstetrics & Gynecology | 1664 N. Virginia St., Ms 153, Reno, NV 89557-0001 | 2006-10-12 |
| 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.