Genetichub

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

GENETICHUB

Practice address

509 S Wall Ave
Suite C
Joplin, MO 64801-2523

Phone

(888) 696-3352

Fax

(650) 434-3984

NPI assigned

Jun 24, 2014

Organization subpart

No

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

Authorized official

Name

Mr. David Ross Clymer

Title

President

Phone

(417) 434-1001

Specialties & licenses 1

Addresses

Other names 1

• BioHub, LLC Other name

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1295140655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S WALL AVE",
            "address_2": "SUITE C",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648012523",
            "telephone_number": "888-696-3352",
            "fax_number": "650-434-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S WALL AVE",
            "address_2": "SUITE C",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648012523",
            "telephone_number": "888-696-3352",
            "fax_number": "650-434-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENETICHUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "CLYMER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-434-1001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BioHub, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rafael J Gaytan, MD
• Nicole Geddes, MA CCC-SLP
• Rory Geer
• Catherine Geiger
• Clarisse Dawn Balbontin Gemoto, PT
• Timothy Gengler, CRNA, RN
• Haley R George
• Tiffany Nicole George, MSN, FNP-BC
• Chad L Gerhart, PSY.D.
• Bezawit Getahun, MD

• Supports Brokerage Agency in Joplin, MO
• Providers in Joplin, MO by specialty
• Supports Brokerage Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.