DR. DEREK A. BEENFELDT (NPI# 1780973891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780973891 |
| Entity Type | Individual |
| Full Name | DR. DEREK A. BEENFELDT |
| Credential | M.D, |
| Practice Address |
4796 Caughlin Pkwy Ste 108 Reno NV 89519-0910 |
| Mailing Address |
850 Harvard Way Reno NV 89502-2055 |
| Practice Telephone | 7759825000 |
| Practice Fax Number | 7759823900 |
| Mailing Telephone | 7759825262 |
| Mailing Fax Number | 7759825496 |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2018-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 15170 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 12662999 | 01 | |
| NV | 1780973891 | 05 |
| Street Address |
4796 CAUGHLIN PKWY STE 108 |
| City | RENO |
| State | NV |
| Zip Code | 89519-0910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689743700 | Hillary Guthrie Wilson | Physician Assistant | 4796 Caughlin Pkwy Ste 108, Reno, NV 89519 | 2006-11-06 |
| 1235591504 | Kathleen Claire Mangir Murray | Family Medicine | 4796 Caughlin Pkwy Ste 108, Reno, NV 89519-0910 | 2016-03-24 |
| 1578805354 | Benjamin P. Hansen | Family Medicine | 4796 Caughlin Pkwy Ste 108, Reno, NV 89519-0910 | 2013-03-20 |
| 1497017719 | Alison Breanne Lynch | Family Medicine | 4796 Caughlin Pkwy Ste 108, Reno, NV 89519-0910 | 2012-06-12 |
| 1851658124 | Kathleen Wakefield Graham | Family Medicine | 4796 Caughlin Pkwy Ste 108, Reno, NV 89519-0910 | 2012-04-11 |
| 1215083845 | Maureen Lee Sheehan | Internal Medicine | 4796 Caughlin Pkwy Ste 108, Reno, NV 89519-0910 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912287 | Corazon Ilarina Ibarra | Preventive Medicine | 1495 Ridgeview Drive Suite 210, 1495 Ridgeview Drive Suite 210, Reno, NV 89519 | 2020-11-04 |
| 1073151411 | High Desert Endodontic Specialists | Dentist | 4104 Caughlin Square, 2, Reno, NV 89519 | 2019-12-17 |
| 1053840439 | David Mertz | Community Health Worker | 4773 Caughlin Parkway, Suite 2, Reno, NV 89519 | 2017-06-08 |
| 1649709072 | Sara Rumker | Community Health Worker | 4773 Caughlin Parkway Ste 2, Reno, NV 89519 | 2017-06-08 |
| 1437697406 | Jeanette Bradford | Counselor | 6008 Plumas Street Apt D, Reno, NV 89519 | 2017-02-09 |
| 1821549270 | Maple Star Nevada | Counselor | 4773 Caughlim Pkwy, Suite 2, Reno, NV 89519 | 2016-10-20 |
| 1366804296 | Susan Lisa Peacock | Speech-Language Pathologist | 4293 Cutting Horse Circle, Reno, NV 89519 | 2016-03-21 |
| 1548551518 | Jonathan Arnow | Specialist | 3301 Ponderosa Pine Court, Reno, NV 89519 | 2011-04-26 |
| 1407080757 | Stacey Edgington | Speech-Language Pathologist | 4210 Pinto Drive, Reno, NV 89519 | 2009-05-14 |
| 1376723213 | Lexey Shuron Parker | Obstetrics & Gynecology | 4005 Plateau Road, Reno, NV 89519 | 2007-11-08 |
| Find all providers in zip 89519 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303762 | Chelsey Marie Miller | Family Medicine | 197 Damonte Ranch Pkwy, Reno, NV 89521-1908 | 2020-10-14 |
| 1568079804 | Natalie Irene Bernard | Family Medicine | 7610 Tamra Dr, Reno, NV 89506-6731 | 2020-09-30 |
| 1669089983 | Helena Class-alexander Arpn LLC | Family Medicine | 1905 California Ave, Reno, NV 89509-2369 | 2020-09-30 |
| 1427609247 | Lindsey A Butcher | Family Medicine | 1905 Horse Prairie Rd, Reno, NV 89521-4361 | 2019-09-23 |
| 1821641937 | Alm Family Practice | Family Medicine | 1895 Plumas St Ste 6, Reno, NV 89509-3384 | 2019-07-17 |
| 1790236180 | Medtrans Reno Casal, Pllc | Family Medicine | 890 Mill St Fl 4, Reno, NV 89502 | 2016-10-20 |
| 1003266032 | Matthew Gordon | Family Medicine | 10539 Professional Cir Ste 200, Reno, NV 89521 | 2016-06-21 |
| 1760843668 | Karen Thiele | Family Medicine | Brigham Bldg 316unsom, Reno, NV 89557-0169 | 2016-03-19 |
| 1538586417 | Katelyn Bruner | Family Medicine | Renown Medical Group Caughlin, 4796 Caughlin Pkwy #108, Reno, NV 89519-0907 | 2014-03-28 |
| 1023372349 | Alejandro De La Parra Landa | Family Medicine | 1664 N Virginia Street Ms 316 Brigham Bldg, Reno, NV 89557-0001 | 2012-07-02 |
| 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.