COMMUNITY CARE SERVICES LLC (NPI# 1306317730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306317730 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE SERVICES LLC |
| Practice Address |
75 Pringle Way Ste 801 Reno NV 89502-8400 |
| Mailing Address |
850 Harvard Way Reno NV 89502-2055 |
| Practice Telephone | 7759822820 |
| Practice Fax Number | 7759822821 |
| Mailing Telephone | 7759825262 |
| Mailing Fax Number | 7759825496 |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2018-12-11 |
| 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 | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207SG0202X |
Medical Genetics Specialization: Clinical Biochemical Genetics |
Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Renown Medical Group - Hematology/Oncology | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1107 Us Highway 395 N Fl 2, Gardnerville, NV 894105304 | 7759822820 | 7759822821 |
| 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 |
| 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 |
| 1487125977 | Community Care Services LLC | Pediatrics | 75 Pringle Way Ste 505, Reno, NV 89502-1469 | 2018-12-10 |
| Street Address |
75 PRINGLE WAY STE 801 |
| City | RENO |
| State | NV |
| Zip Code | 89502-8400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043285752 | Robert N. Slotnick | Medical Genetics | 75 Pringle Way Ste 801, Reno, NV 89502-8400 | 2006-02-17 |
| 1114331527 | Lillian Morton | Nurse Practitioner | 75 Pringle Way Ste 801, Reno, NV 89502-8400 | 2014-06-12 |
| 1013263003 | Christina Alsop | Nurse Practitioner | 75 Pringle Way Ste 801, Reno, NV 89502-8400 | 2012-07-27 |
| 1245414341 | Tyler A Braz | Registered Nurse | 75 Pringle Way Ste 801, Reno, NV 89502 | 2007-12-26 |
| 1760686182 | Denise S Abbey | Social Worker | 75 Pringle Way Ste 801, Reno, NV 89502-8400 | 2007-06-11 |
| 1295756419 | Homayoon Shahidi | Internal Medicine | 75 Pringle Way Ste 801, Reno, NV 89502-8400 | 2006-07-22 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164574281 | Donald Cassidy Md Ltd | Internal Medicine | 75 Pringle Way Ste 711, Reno, NV 89502-1472 | 2007-01-17 |
| 1619983178 | James Forsythe | Internal Medicine | 521 Hammill Ln, Reno, NV 89511-1004 | 2006-08-01 |
| 1437164100 | Antonio Herlander Fontelonga | Internal Medicine | 75 Pringle Way Ste 706, Reno, NV 89502-1472 | 2006-07-30 |
| 1538109004 | Vodur Suresh Reddy | Internal Medicine | 5423 Reno Corporate Dr, Reno, NV 89511-2250 | 2006-06-06 |
| 1881906121 | Juan Adolfo Cattoni IIi | Internal Medicine | 5423 Reno Corporate Dr., Reno, NV 89511-2250 | 2010-07-01 |
| 1417190414 | Emily Jean Guerard | Internal Medicine | 5423 Reno Corporate Dr., Reno, NV 89511-2250 | 2009-04-07 |
| 1528231511 | Margaret E. M. Van Meter | Internal Medicine | 236 W 6th St, Suite 400, Reno, NV 89503-4517 | 2008-04-10 |
| 1174747323 | Santhosh Ambika | Internal Medicine | 5423 Reno Corporate Dr., Reno, NV 89511-2250 | 2007-04-12 |
| 1356482020 | Sowjanya Reganti | Internal Medicine | 5423 Reno Corporate Dr., Reno, NV 89511-2250 | 2007-02-08 |
| 1174684542 | Steven A Schiff | Internal Medicine | 236 W 6th St, Suite 400, Reno, NV 89503-4517 | 2006-12-12 |
| 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.