Donald C. Hartlieb M.D. LTD

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

5104 Issued in NV

Legal business name

DONALD C. HARTLIEB M.D. LTD

Practice address

10521 Jeffreys St
Suit 220
Henderson, NV 89052-4180

Phone

(702) 733-8871

Fax

(702) 733-2177

NPI assigned

Jul 30, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Tricia Michelle Maldonado

Title

Office Manager

Phone

(702) 733-8871

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1194915785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10521 JEFFREYS ST",
            "address_2": "SUIT 220",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524180",
            "telephone_number": "702-733-8871",
            "fax_number": "702-733-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10521 JEFFREYS ST",
            "address_2": "SUIT 220",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524180",
            "telephone_number": "702-733-8871",
            "fax_number": "702-733-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD C. HARTLIEB M.D. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-733-8871",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NV",
            "license": "5104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002002564",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Domingo
• Olimpia A Dominguez Gutierrez, LCSW
• Larry Dominguez
• Reyna Rosario Dominguez, NP
• Paul Howard Dompierre, BSW
• Anne Marie Dondiego
• Ariel Donofrio, OMD
• Alexandria Donohoo
• Erin Claire Donohue, CADC, PRSS
• Sean Donovan

• Preferred Provider Organization in Henderson, NV
• Providers in Henderson, NV by specialty
• Preferred Provider Organization in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.