Individual provider Active NPI

Joseph Prohaska, D.O.

  • MOHS-Micrographic Surgery Physician
  • Morristown, TN
National Provider Identifier
1790158012
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MD3678 Issued in TN
Practice address
1907 W Morris Blvd Ste G
Morristown, TN 37813-3866
Phone
(423) 318-0014
Fax
(423) 318-2595
NPI assigned
Nov 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X MD3678 TN Primary
Student in an Organized Health Care Education/Training Program 390200000X 2016-01634 NC
Dermatology Physician 207N00000X 2016-01634 NC

Addresses

Primary practice location

1907 W Morris Blvd Ste G
Morristown, TN 37813-3866

Mailing address

1907 W Morris Blvd Ste G
Morristown, TN 37813-3866
Phone (423) 318-0014

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joseph.prohaska.1@3525.direct.athenahealth.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190903002365 TN Practitioner - Dermatology 2860721743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthstar Physicians PCGroup PAC ID 5890690978, 89 clinicians

Practice addresses (Care Compare)

1907 W Morris Blvd
Suite G
Morristown, TN 37813-3866
Phone (423) 318-0014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision131
Removal of tissue1-10
Removal of skin lesions152
Removal of skin cancer348
Removal or shaving of skin growth1-10
Skin biopsy61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3678TNMDProfessional Counselor
MD3678TNMDMOHS-Micrographic Surgery Physician
2016-01634NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Healthstar Physicians PC CurrentSince Jul 1, 2019 Accepting new patients
Healthstar Physicians, P.C. CurrentSince Jul 1, 2019 Accepting new patients
East Tennessee Primary Care Associates Past Accepting new patients

Locations

657 E Broadway Blvd
Ste C
Jefferson Cty, TN 37760
Phone (423) 586-1717

1907 W Morris Blvd
Ste G
Morristown, TN 37813
Phone (423) 318-0014

420 W Morris Blvd
Ste 400C
Morristown, TN 37813
Phone (423) 586-0443

420 W Morris Blvd
Ste 400A
Morristown, TN 37813
Phone (423) 318-6617

Interoperability endpoints

  • Direct secure messaging: joseph.prohaska.1@3525.direct.athenahealth.com
  • Direct secure messaging: jprohaska562412@direct.hfhs.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1790158012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 W MORRIS BLVD STE G",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378133866",
            "telephone_number": "423-318-0014",
            "fax_number": "423-318-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 W MORRIS BLVD STE G",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378133866",
            "telephone_number": "423-318-0014",
            "fax_number": "423-318-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROHASKA",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-09",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TN",
            "license": "MD3678",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "2016-01634",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2016-01634",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joseph.prohaska.1@3525.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1907 W Morris Blvd Ste G",
            "city": "Morristown",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378133866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

Verify at the official NPI Registry.