Active NPI
Benjamin J Hochhalter, PA-C
- Physician Assistant
- Las Vegas, NV
National Provider Identifier
1326023417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA1844
- Practice address
- 7455 W Washington Ave Ste 160
Las Vegas, NV 89128-4356 - Phone
- (702) 878-0393
- Fax
- (702) 258-5536
- NPI assigned
- Dec 12, 2005
- Last updated
- Jan 18, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-614 | ID | |
| Physician Assistant | 363A00000X | PA1844 | NV | Primary |
| Medical Physician Assistant | 363AM0700X | PA-614 | ID | |
| Surgical Physician Assistant | 363AS0400X | PA-614 | ID |
Addresses
Primary practice location
7455 W Washington Ave Ste 160
Las Vegas, NV 89128-4356
Mailing address
7455 W Washington Ave
#160
Las Vegas, NV 89128-4337
Phone (702) 878-0393
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326023417 | Medicaid | NV | |
| 282621 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-614 | ID | MD | Physician Assistant |
| PA1844 | NV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Marys Medical Group Inc. | Current | Accepting new patients | |
| Idaho Emergency Physicians, P.a. | Past | Accepting new patients |
Locations
1801 W Olympic Blvd
#1461
Pasadena, CA 91199
411 W 6th St
Reno, NV 89503
Phone (775) 770-3209
Interoperability endpoints
- benjaminhochhalter@nosc.allscriptsdirect.net
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Saint Mary's Medical Group
- Primary Care Clinic/Center
- Reno, NV
- NPI 1538424239
-
- Emergency Medicine Physician
- Meridian, ID
- NPI 1730133208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547769600000",
"number": "1326023417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7455 W WASHINGTON AVE",
"address_2": "#160",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891284337",
"telephone_number": "702-878-0393",
"fax_number": "702-258-5536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7455 W WASHINGTON AVE STE 160",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891284356",
"telephone_number": "702-878-0393",
"fax_number": "702-258-5536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOCHHALTER",
"first_name": "BENJAMIN",
"middle_name": "J",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-12",
"last_updated": "2019-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ID",
"license": "PA-614",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA1844",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "ID",
"license": "PA-614",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "ID",
"license": "PA-614",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1326023417",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "282621",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.