Stephen P Prohaska, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-06715 Issued in NC

Practice address

2209 S Sterling St Ste 600
Morganton, NC 28655-4092

Phone

(828) 580-4577

Fax

(828) 580-4599

NPI assigned

Aug 10, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Catawba Valley Medical Group IncGroup PAC ID 6305007279, 133 clinicians

Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Catawba Valley Medical Center Hospital, Hickory, NC, CCN 340143

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephen.prohaska.1@847.direct.athenahealth.com
• Direct secure messaging: stephen.prohaska@cvmg.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emergeortho PA

  • Orthopaedic Surgery Physician
  • Durham, NC
  • NPI 1376592964

  Physician Assistant

  Medicare reassignment Care Compare group NPD
• Catawba Valley Medical Group, Inc

  • Family Medicine Physician
  • Catawba, NC
  • NPI 1790062362
  Medicare reassignment Care Compare group
• Blue Ridge Healthcare Medical Group, Inc.

  • Obstetrics & Gynecology Physician
  • Connelly Springs, NC
  • NPI 1467993931
  Medicare reassignment
• Blue Ridge Healthcare Medical Group, Inc.

  • Internal Medicine Physician
  • Morganton, NC
  • NPI 1578424685
  NPD
• Blue Ridge Healthcare Medical Group, Inc.

  • Surgery Physician
  • Connelly Springs, NC
  • NPI 1740558949
  NPD
• Blue Ridge Healthcare Medical Group, Inc.

  • Family Medicine Physician
  • Marion, NC
  • NPI 1801120654
  NPD
• Catawba Valley Medical Group Inc

  • Ambulatory Surgical Clinic/Center
  • Hickory, NC
  • NPI 1659267359
  NPD
• Catawba Valley Medical Group, Inc

  • Family Medicine Physician
  • Hickory, NC
  • NPI 1952678013
  NPD
• Emergeortho PA

  • Durable Medical Equipment & Medical Supplies
  • Eden, NC
  • NPI 1841170222
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Catawba Valley Medical Center

  • General Acute Care Hospital
  • Hickory, NC
  • NPI 1164495255
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1356895197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 S STERLING ST STE 600",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554092",
            "telephone_number": "828-580-4577",
            "fax_number": "828-580-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 S STERLING ST STE 600",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554092",
            "telephone_number": "828-580-4577",
            "fax_number": "828-580-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROHASKA",
        "first_name": "STEPHEN",
        "middle_name": "P",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-10",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356895197",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Rhyne Prewitt, LPCA
• Travis Howard Pritchard, LMBT, LRTA
• Nicholas Kyle Proctor, LCMHCA
• Powell Russ Proctor, FNP
• Ronnie Dwaine Proffitt
• Brittany Propst
• Natalie Quach, OTR/L
• Quaker Meadows FCH - Burke Rest Home Inc
• R. Gary Hensley D.M.D. PA I
• R. Gary Hensley, DMD, PA III

• Physician Assistant in Morganton, NC
• Providers in Morganton, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.