Individual provider Active NPI

Joseph R Hollen, M.D.

  • General Practice Physician
  • Reno, NV
National Provider Identifier
1104197276
Registry record updated Jan 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4392 Issued in NV
Practice address
4741 Caughlin Pkwy
Suite #3
Reno, NV 89519-1000
Phone
(775) 827-0670
Fax
(775) 827-6481
NPI assigned
Jan 21, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4392 NV
General Practice Physician 208D00000X 4392 NV Primary

Addresses

Primary practice location

4741 Caughlin Pkwy
Suite #3
Reno, NV 89519-1000

Mailing address

PO Box 6629
Reno, NV 89513-6629
Phone (775) 827-0670

Other names 1

  • Dr. Joe R Hollen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4392NVMDEmergency Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1327104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327104000000",
    "number": "1104197276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6629",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895136629",
            "telephone_number": "775-827-0670",
            "fax_number": "775-827-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 CAUGHLIN PKWY",
            "address_2": "SUITE #3",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895191000",
            "telephone_number": "775-827-0670",
            "fax_number": "775-827-6481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEN",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-21",
        "last_updated": "2012-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "4392",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NV",
            "license": "4392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOE",
            "last_name": "HOLLEN",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.