HOLLY H. HOBART (NPI# 1821076092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821076092 |
Entity Type | Individual |
Full Name | HOLLY H. HOBART |
Credential | PH.D. |
Practice Address |
1707 W. Charleston Blvd- Dba Nevada Genetics Laboratory 110-b Las Vegas NV 89102-2351 |
Mailing Address |
2040 W Charleston Blvd 202-a Las Vegas NV 89102-2227 |
Practice Telephone | 7026715055 |
Practice Fax Number | 7026710193 |
Mailing Telephone | 7026712355 |
Mailing Fax Number | 7023825388 |
Enumeration Date | 2006-01-06 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 207SC0300X |
Medical Genetics Specialization: Clinical Cytogenetic |
16016 DIR-0 | NV | Allopathic & Osteopathic Physicians |
X | 207SG0205X |
Medical Genetics Specialization: Ph.D. Medical Genetics |
16016 DIR-0 | NV | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | STAT LICENSE | 16016-DIR-0 | 01 |
Street Address |
1707 W. CHARLESTON BLVD- DBA NEVADA GENETICS LABORATORY 110-B |
City | LAS VEGAS |
State | NV |
Zip Code | 89102-2351 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
Find all providers in zip 89102 |
Taxonomy Code | 207SC0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Medical Genetics |
Specialization | Clinical Cytogenetic |
A clinical cytogeneticist demonstrates competence in providing laboratory diagnostic and clinical interpretive services dealing with cellular components, particularly chromosomes, associated with heredity. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. A general certificate was first issued by the ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477686004 | University of Nv School of Medicine Multi Specialty Group Practice So | Medical Genetics | 522 E Twain Ave, Las Vegas, NV 89169-4905 | 2007-03-13 |
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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.