ELLEN PALMER HOBAN (NPI# 1316491996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316491996 |
| Entity Type | Individual |
| Full Name | ELLEN PALMER HOBAN |
| Other Name | ELLEN SUE PALMER |
| Credential | APRN |
| Practice Address |
527 Medical Park Dr Suite 105 Bridgeport WV 26330-9008 |
| Practice Telephone | 3049333885 |
| Practice Fax Number | 3049333887 |
| Mailing Telephone | 3049333885 |
| Mailing Fax Number | 3049333887 |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN45835NP | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
527 MEDICAL PARK DR SUITE 105 |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330-9008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134101660 | United Hospital Center Inc | Family Medicine | 527 Medical Park Dr, Suite 500, Bridgeport, WV 26330-9010 | 2005-11-18 |
| 1760967400 | Susan Rennae Kirkendall | Counselor | 527 Medical Park Dr, Bridgeport, WV 26330-9008 | 2018-09-28 |
| 1457886988 | Rachel S Holeman | Student in an Organized Health Care Education/Training Program | 527 Medical Park Dr, Suite 500, Bridgeport, WV 26330-9008 | 2017-04-21 |
| 1205360237 | Nathan E Russell | Student in an Organized Health Care Education/Training Program | 527 Medical Park Dr, Suite 500, Bridgeport, WV 26330-9008 | 2017-04-17 |
| 1255865275 | Brandon M Lewko | Emergency Medicine | 527 Medical Park Dr, Suite 500, Bridgeport, WV 26330-9008 | 2017-04-17 |
| 1144754177 | Premkumar Chandrakantbhai Patel | General Practice | 527 Medical Park Dr, Suite 500, Bridgeport, WV 26330-9008 | 2017-04-17 |
| 1922546175 | Leslie D. Mavromatis | Counselor | 527 Medical Park Dr, Bridgeport, WV 26330-9008 | 2017-02-08 |
| 1194170571 | Matthan Jackson | Family Medicine | 527 Medical Park Dr, Ste 500, Bridgeport, WV 26330-9008 | 2016-05-04 |
| 1447605837 | Arsalan Khawaja | Student in an Organized Health Care Education/Training Program | 527 Medical Park Dr, Ste 500, Bridgeport, WV 26330-9008 | 2016-05-04 |
| 1902251374 | Kristin Black | Student in an Organized Health Care Education/Training Program | 527 Medical Park Dr, Ste 500, Bridgeport, WV 26330-9008 | 2016-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| Find all providers in zip 26330 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692874 | Patricia A Hardy | Nurse Practitioner | 2800 Main St, Bridgeport, CT 06606-4292 | 2020-09-05 |
| 1215540091 | Amber Dean Dnp Aprn Pmhnp-bc LLC | Nurse Practitioner | 1011 Main St, Bridgeport, NE 69336-4057 | 2020-08-31 |
| 1013484088 | Samantha Mraz | Nurse Practitioner | 46 Albion St, Bridgeport, CT 06605-2602 | 2018-10-29 |
| 1447762901 | James Michael Haddon | Nurse Practitioner | 267 Grant St, Bridgeport, CT 06610-2805 | 2017-10-24 |
| 1013436229 | Patricia Anne Simpson | Nurse Practitioner | 267 Grant St, Bridgeport, CT 06610-2805 | 2017-09-19 |
| 1235656968 | Michael P Otoole | Nurse Practitioner | 475 Clinton Ave, Bridgeport, CT 06605-1700 | 2017-08-24 |
| 1528422185 | Taylor Gaglia | Nurse Practitioner | 267 Grant St, Bridgeport, CT 06610-2805 | 2016-04-11 |
| 1801293824 | Tanya R Bassett | Nurse Practitioner | 46 Albion St, Southwest Community Health Center, Bridgeport, CT 06605-2602 | 2014-11-20 |
| 1225159171 | Lydia H. Greiner | Nurse Practitioner | 475 Clinton Ave, Bridgeport, CT 06605-1700 | 2007-04-02 |
| 1326018367 | Carmen Calder | Nurse Practitioner | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2006-01-24 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
Please comment or provide details below to improve the information on ELLEN PALMER HOBAN.
| 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.