BEAVER MEDICAL INCORPORATED (NPI# 1851780241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851780241 |
| Entity Type | Organization |
| Organization Name | BEAVER MEDICAL INCORPORATED |
| Practice Address |
5000 Smithridge Dr Ste D11 Reno NV 89502-5654 |
| Practice Telephone | 7758572876 |
| Mailing Telephone | 7758572876 |
| Mailing Fax Number | 7758572878 |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2015-01-22 |
| Authorized Official Name | DAVID PROTHRO (COO) |
| Authorized Official Telephone | 7758572876 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
7123 | NV | Allopathic & Osteopathic Physicians |
| Street Address |
5000 SMITHRIDGE DR STE D11 |
| City | RENO |
| State | NV |
| Zip Code | 89502-5654 |
| 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 | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225358666 | Jay W Mason | Internal Medicine | 105 Londonderry Ct, Reno, NV 89511-2718 | 2010-06-08 |
| 1427194265 | Peter Edward Pool | Internal Medicine | 480 Anitra Dr, Reno, NV 89511-7635 | 2007-01-29 |
| 1407818925 | Anthony Clayton Field | Internal Medicine | 1500 E 2nd St Ste 400, Reno, NV 89502-1198 | 2006-04-03 |
| 1245222900 | Frank P Carrea | Internal Medicine | 645 N Arlington Ave Ste 555, Reno, NV 89503-4452 | 2005-08-18 |
| 1851704100 | Danish Atwal | Internal Medicine | 1500 E 2nd St Ste 400, Reno, NV 89502-1198 | 2014-06-04 |
| 1770902363 | Htet Khine | Internal Medicine | 1500 E 2nd St Ste 400, Reno, NV 89502-1198 | 2014-04-10 |
| 1538402987 | Vlad Andrei Radulescu | Internal Medicine | 1500 E 2nd St Ste 400, Reno, NV 89502 | 2013-04-04 |
| 1770874539 | Bryan Challapalli and Baker, A Professional Medical Corporation | Internal Medicine | 75 Pringle Way, Suite 401, Reno, NV 89502-1464 | 2011-04-28 |
| 1932425345 | Jayson A Morgan | Internal Medicine | 1500 E 2nd St Ste 400, Reno, NV 89502-1198 | 2010-04-09 |
| 1669708889 | Amanda Rae Huite | Internal Medicine | 1500 E 2nd St Ste 400, Reno, NV 89502-1198 | 2009-10-22 |
| Find all providers in RENO | ||||
Please comment or provide details below to improve the information on BEAVER MEDICAL INCORPORATED.
| 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.