COMMUNITY CARE SERVICES LLC (NPI# 1811468374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811468374 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE SERVICES LLC |
| Other Organization Name | SURGICAL INTENSIVIST GROUP |
| Practice Address |
1155 Mill St Reno NV 89502-1576 |
| Mailing Address |
850 Harvard Way Reno NV 89502-2055 |
| Practice Telephone | 7759824342 |
| Practice Fax Number | 7759823982 |
| Mailing Telephone | 7759825262 |
| Mailing Fax Number | 7759825496 |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2019-06-18 |
| 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 | 207WX0109X |
Ophthalmology Specialization: Neuro-ophthalmology |
Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Renown Medical Group Surgery | Other Name - Individual/Organization |
| Surgical Intensivist Group | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 75 Pringle Way Ste 906, Reno, NV 895028405 | 7759826270 | 7759826271 |
| 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 |
1155 MILL ST |
| City | RENO |
| State | NV |
| Zip Code | 89502-1576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405456 | Phyllis Joyce Ager | Radiology | 1155 Mill St, Mail Code L11, Reno, NV 89502-1576 | 2005-05-27 |
| 1245830405 | Melissa Kimberly Herrera | Technician | 1155 Mill St, Reno, NV 89502-1576 | 2020-10-27 |
| 1386250298 | Corinne Elizabeth Canavero | Nurse Practitioner | 1155 Mill St, Reno, NV 89502-1576 | 2020-09-17 |
| 1457969479 | Cory Lankford | Pharmacist | 1155 Mill St, Reno, NV 89502-1576 | 2020-07-15 |
| 1710500947 | Dana Robinson | Occupational Therapist | 1155 Mill St, Reno, NV 89502-1576 | 2020-05-21 |
| 1376162495 | Erin Miranda Madsen | Registered Nurse | 1155 Mill St, Reno, NV 89502-1576 | 2020-04-09 |
| 1568092336 | Jodi Danielson | Home Health | 1155 Mill St, Reno, NV 89502-1576 | 2020-01-21 |
| 1184266298 | Janeen Lou Ibarreta | Pharmacist | 1155 Mill St, Reno, NV 89502-1576 | 2019-10-09 |
| 1558914465 | Jasmine Ghuman | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Reno, NV 89502-1576 | 2019-07-19 |
| 1205498987 | Unr | Clinic/Center | 1155 Mill St, Reno, NV 89502-1576 | 2019-07-03 |
| Find all providers in the same location | ||||
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043719636 | Sierra Surgical Oncology Corporation | Surgery | 75 Pringle Way Ste 906, Reno, NV 89502-8405 | 2018-02-08 |
| 1306170444 | Alex R Cardenas | Surgery | 75 Pringle Way Ste 1002, Reno, NV 89502 | 2009-09-22 |
| 1841414877 | Amanda Czigany Vanderclay | Surgery | 1500 East 2nd Street #206, Reno, NV 89502 | 2007-04-12 |
| 1972535334 | Thomas Mccrorey | Surgery | 10685 Professional Cir Ste B, Reno, NV 89521-5843 | 2006-07-07 |
| 1053349977 | Mitzi M Miller | Surgery | 975 Kirman Ave # 112, Reno, NV 89502-0993 | 2006-06-29 |
| 1215972138 | Mark D Kozar | Surgery | 75 Pringle Way 1002, Reno, NV 89502-1475 | 2006-06-17 |
| 1548208283 | Akhtar Albright Chu Dixon Nachtsheim Sieffert & Stumpf Mds PC | Surgery | 1500 E 2nd Street #206, Reno, NV 89502 | 2006-06-03 |
| 1942290382 | Thomas E Rembetski | Surgery | 6554 S Mccarran Blvd, #b, Reno, NV 89509-6112 | 2005-10-26 |
| 1598753725 | George Frederick Sieffert | Surgery | 1500 E 2nd Street, Suite 206, Reno, NV 89502-1181 | 2005-10-11 |
| 1760474555 | Christos A Galanopoulos | Surgery | 1500 E 2nd St Ste 300, Reno, NV 89502 | 2005-08-17 |
| 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.