DR. JOSEPH PROHASKA (NPI# 1790158012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790158012 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH PROHASKA |
| Credential | D.O. |
| Practice Address |
1907 W Morris Blvd Ste G Morristown TN 37813-3866 |
| Practice Telephone | 4233180014 |
| Practice Fax Number | 4233182595 |
| Mailing Telephone | 4233180014 |
| Mailing Fax Number | 4233182595 |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2019-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 2016-01634 | NC | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
MD3678 | TN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 2016-01634 | NC | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 607 Beaman St, Clinton, NC 283282603 | 9105928511 |
| Street Address |
1907 W MORRIS BLVD STE G |
| City | MORRISTOWN |
| State | TN |
| Zip Code | 37813-3866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902393291 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd., Morristown, TN 37813 | 2018-04-23 |
| 1013404409 | Champion Physical Therapy LLC Halls | Clinic/Center | 1125 East Morris Blvd, Morristown, TN 37813 | 2018-04-20 |
| 1427550847 | Sherri Elizabeth Carlisle | Nurse Practitioner | 420 W Morris Blvd Ste 410, Morristown, TN 37813 | 2018-03-01 |
| 1992100770 | Dan-huy Nguyen | Pharmacist | 251 S. Cumberland St, Morristown, TN 37813 | 2014-10-23 |
| 1427311299 | Covenant Homecare | Durable Medical Equipment & Medical Supplies | 1611 West Morris Blvd, Morristown, TN 37813 | 2012-06-18 |
| 1194032730 | Morristown Pharmacist Group, LLC Dba M.d. Pharmacy | Pharmacy | 1467 W Morris Blvd, Morristown, TN 37813 | 2010-09-02 |
| 1750512653 | Tiffany Colleen Hopkins | Speech-Language Pathologist | 958 Trade St Ste 102, Morristown, TN 37813 | 2009-07-27 |
| 1699934711 | Kidney Center Pllc | Internal Medicine | 1751 West Morris Blvd. Suite 4, Morristown, TN 37813 | 2008-06-04 |
| 1154591055 | Kristal Lay Hurst | Nurse Practitioner | 1079 E Morris Blvd, Morristown, TN 37813 | 2008-03-06 |
| 1013002468 | Daniel James Martin | Physician Assistant | 1907 W. Morris Blvd, Suite B, Morristown, TN 37813 | 2006-10-03 |
| Find all providers in zip 37813 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295824415 | Tricities Skin and Cancer | Dermatology | 1009 N State of Franklin Access Road Suite A, Johnson City, TN 37604 | 2006-10-12 |
| 1457448599 | Brent Moody | Dermatology | 1900 Patterson St Ste 201, Nashville, TN 37203 | 2006-10-09 |
| 1942238902 | East Tennessee Medical Group, PC | Dermatology | 266 Joule Street, Alcoa, TN 37701-2422 | 2006-06-29 |
| 1881658243 | Adult & Pediatric Dermatology of Tullahoma PC | Dermatology | 100 William Northern Blvd, Ste C, Tullahoma, TN 37388 | 2006-04-13 |
| 1851369391 | Thomas Paul Chu | Dermatology | 520 Trinity Creek Cv, Cordova, TN 38018-2279 | 2006-03-10 |
| 1770550659 | Frances Beard | Dermatology | 1455 Union Avenue, Memphis, TN 38104-6727 | 2006-03-01 |
| 1275506404 | Rex Allen Amonette | Dermatology | 1455 Union Ave, Memphis, TN 38104-6727 | 2006-02-08 |
| 1184608416 | Julie M Pena | Dermatology | 200 Cool Springs Blvd, Franklin, TN 37067-2677 | 2005-11-30 |
| 1306849500 | Steve Leroy Peterson | Dermatology | 1009 North State of Franklin Access Road, Johnson City, TN 37604 | 2005-05-23 |
| 1255938502 | Uderm, Pllc | Dermatology | 5243 Little Debbie Pkwy Ste 111, Ooltewah, TN 37363-4515 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
| City | MORRISTOWN |
| Zip Code | 37813 |
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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.