NPIMap

Individual provider Active NPI

Eric Wayne Frorenza-Hubbard, PA-C

  • Physician Assistant
  • Las Vegas, NV
National Provider Identifier
1669012357
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2220 Issued in NV
Practice address
2250 E Flamingo Rd
Las Vegas, NV 89119-5170
Phone
(702) 784-4300
NPI assigned
Jan 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2220 NV Primary

Addresses

Primary practice location

2250 E Flamingo Rd
Las Vegas, NV 89119-5170

Mailing address

53 Morning Mimosa CT
Henderson, NV 89012-4904
Phone (702) 285-9027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200327002556 NV Practitioner - Physician Assistant 0941639850 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Challapalli Cardiology PCGroup PAC ID 1456723162, 8 clinicians

Practice addresses (Care Compare)

5375 Reno Corporate Dr
Reno, NV 89511-2381
Phone (775) 384-1134

5385 Reno Corporate Dr
Reno, NV 89511-2368
Phone (775) 384-1134

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Marys Urgent Care LLC Current Accepting new patients
Michael H Song MD LTD CurrentSince Mar 10, 2024 Accepting new patients
Saint Mary's Medical Group Inc CurrentSince Jun 5, 2022 Accepting new patients

Locations

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

1470 Medical Pkwy
Ste 240
Carson City, NV 89703
Phone (775) 323-6100

2098 Idaho St
Elko, NV 89801
Phone (775) 323-6100

10791 Double R Blvd
Reno, NV 89521
Phone (775) 284-2020

6255 Sharlands Ave
Reno, NV 89523
Phone (775) 245-6117

645 N Arlington Ave
Ste 555
Reno, NV 89503
Phone (775) 770-7348

18653 Wedge Pkwy
Ste 110
Reno, NV 89511
Phone (775) 352-7201

Interoperability endpoints

  • Direct secure messaging: eric.frorenza-hubbard.2@27787.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1669012357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 MORNING MIMOSA CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890124904",
            "telephone_number": "702-285-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 E FLAMINGO RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195170",
            "telephone_number": "702-784-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRORENZA-HUBBARD",
        "first_name": "ERIC",
        "middle_name": "WAYNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-09",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.