MALLORY HAMILTON (NPI# 1073907929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073907929 |
| Entity Type | Individual |
| Full Name | MALLORY HAMILTON |
| Credential | MD |
| Practice Address |
4700 Las Vegas Blvd N Nellis Afb NV 89191-6600 |
| Practice Telephone | 7026532766 |
| Mailing Telephone | 7026532766 |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2017-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 01077750A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730517970 | Mallory Hamilton | Counselor | 1616 Cornwall Ave, Bellingham, WA 98225 | 2013-10-25 |
| Street Address |
4700 LAS VEGAS BLVD N |
| City | NELLIS AFB |
| State | NV |
| Zip Code | 89191-6600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366445389 | Frank J Andriola | Internal Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2005-05-23 |
| 1245837392 | Cameron Springer | Military Health Care Provider | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-10-01 |
| 1063026474 | Haley Suzanne Emery | Physician Assistant | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-09-02 |
| 1033729991 | Brock Shaw | Dentist | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-08-05 |
| 1801404397 | Madelyn Danielle Golden | Military Health Care Provider | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-07-21 |
| 1114544103 | Jami Myong Reece | Family Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-06-25 |
| 1225654296 | Leah Corr | Physician Assistant | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-06-24 |
| 1821614405 | Aubrey Amanda Blanchette | Student in an Organized Health Care Education/Training Program | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-06-19 |
| 1346866290 | Shelbi Diane Duncan | Physician Assistant | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-06-17 |
| 1235751538 | Howard Luong | Physician Assistant | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225662687 | Ashley Raye Roth-garcia | Student in an Organized Health Care Education/Training Program | 99th Medical Group 4700 Las Vegas Blvd North, Nellis Afb, NV 89191 | 2020-02-25 |
| 1427553734 | Christopher Robert Weisgarber | Student in an Organized Health Care Education/Training Program | Mike O'callaghan Military Medical Center, 4700 Las Vegas Blvd North Bldg 1300, Las Vegas, NV 89191 | 2018-03-28 |
| 1912345448 | Austin Joseph Ladner | Dentist | 99th Air Base Wing Public Affairs, Fpo, AA 89191 | 2013-06-06 |
| 1528329018 | Mayer M Jeppson | Psychologist | 4700 Las Vegas Blvd. N, Nellis Afb, NV 89191 | 2012-05-31 |
| 1255560462 | Jordan Lawrence | Military Health Care Provider | 1579 Malmstrom Avenue, Nellis Afb, NV 89191 | 2009-07-09 |
| 1225263072 | Adrienne L Clark | Military Health Care Provider | 5154 Ellsworth Ave, Suite 61690, Las Vegas, NV 89191 | 2009-05-22 |
| 1568634335 | Eleanor C Basilio | Registered Nurse | 4700 Las Vegas Blvd., Nellis Afb, NV 89191 | 2008-04-01 |
| 1316137037 | Sarah Rachel Glick | Pediatrics | 4700 N. Las Vegas Blvd., Mike O'callaghan Federal Medical Center, 99 Mdos/sgoc, Nellis Afb, NV 89191 | 2007-07-30 |
| 1619181302 | Ben Carter Robinson | Orthopaedic Surgery | 4700 N. Las Vegas Blvd, Nellis Afb-mofh Nellis Orthopedics, Las Vegas, NV 89191 | 2007-05-10 |
| 1609992205 | Conrad Lochner IIi, Odpc | Optometrist | 5691 Rickenbacker Road, Bldg. 431, Las Vegas, NV 89191 | 2007-03-22 |
| Find all providers in zip 89191 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356761423 | Katherine L. Fiumecaldo | General Practice | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2014-04-16 |
| 1609216050 | Kyle Mcintosh | General Practice | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2013-06-30 |
| 1306188966 | Sally Charles Hamm | General Practice | 4700 Las Vegas Blvd N, 99mdos/sgop, Nellis Afb, NV 89191-6601 | 2013-03-21 |
| 1215279922 | Daniel S Kim | General Practice | 4311 Carswell Ave, Bldg 340, Nellis Afb, NV 89191-7069 | 2013-03-20 |
| 1992066906 | Do Karen Worzel, LLC | General Practice | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 | 2012-06-06 |
| 1043448558 | Melissa Caryl Coombs | General Practice | 4700 Las Vegas Blvd N, Bldg 1300, Nellis Afb, NV 89191-6600 | 2009-06-24 |
| 1215048426 | Erich Watson Schroeder | General Practice | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281451 | Korn Health Solutions, Pllc | General Practice | 8530 W Sunset Rd Ste 305, Las Vegas, NV 89113-2215 | 2020-10-06 |
| 1629689310 | Korn Health Solutions, Pllc | General Practice | 343 Elm St Ste 201, Reno, NV 89503-4538 | 2020-08-14 |
| 1740898253 | Cano Health Nevada Pllc | General Practice | 3265 E Tropicana Ave, Las Vegas, NV 89121-7386 | 2020-07-21 |
| 1720631070 | Regen Providers | General Practice | 730 Sandhill Rd Ste 120, Reno, NV 89521-8962 | 2019-07-16 |
| 1225530553 | Real Time Physicians, LLC | General Practice | 3855 W Diablo Dr Ste 2, Las Vegas, NV 89118-2343 | 2018-03-02 |
| 1265958862 | Ricardo Gonzalez Md Family Practice PC | General Practice | 2005 Sierra Highlands Dr Ste 101, Reno, NV 89523-2301 | 2017-08-16 |
| 1689057655 | Boheme, LLC | General Practice | 1100 Caughlin Xing, Reno, NV 89519-0613 | 2015-07-08 |
| 1659787414 | Nicholas T Welch | General Practice | 2283 Chestnut Ranch Ave, Henderson, NV 89052-0409 | 2014-07-01 |
| 1063847317 | Mh Health Care Services, PC | General Practice | 7135 W Sahara Ave Ste 100, C/o Laborers Health Center, Las Vegas, NV 89117-2828 | 2013-09-05 |
| 1386078582 | Richard F Russell | General Practice | 2221 S Tioga Way, Las Vegas, NV 89117-2735 | 2013-08-25 |
| Find all providers with the same taxonomy | ||||
| City | NELLIS AFB |
| Zip Code | 89191 |
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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.