NPIMap

Organization Active NPI

Elizabeth a. Hutson M.D. LTD

  • Gynecology Physician
  • Sparks, NV
National Provider Identifier
1316119662
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
9829 Issued in NV
Legal business name
ELIZABETH A. HUTSON M.D. LTD
Practice address
1441 Pullman Dr
Sparks, NV 89434-7921
Phone
(775) 432-1343
Fax
(775) 324-0858
NPI assigned
Mar 27, 2008
Last updated
Mar 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Tina Forster
Title
Billing Specialist
Phone
(775) 800-1948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X 9829 NV Primary

Addresses

Primary practice location

1441 Pullman Dr
Sparks, NV 89434-7921

Mailing address

1441 Pullman Dr
Sparks, NV 89434-7921
Phone (775) 432-1343

Other names 1

  • ELIZABETH A HUTSON MD LTD Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080506000074 NV Part B Supplier - Clinic/Group Practice 8123107935 Receives reassigned benefits from 12 practitioners
Practice locations: Sparks, NV

National Provider Directory

National Provider Directory

Locations

343 Elm St
Ste 306
Reno, NV 89503
Phone (775) 324-4477

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1316119662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 PULLMAN DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894347921",
            "telephone_number": "775-432-1343",
            "fax_number": "775-324-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 PULLMAN DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894347921",
            "telephone_number": "775-432-1343",
            "fax_number": "775-324-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH A. HUTSON M.D. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "FORSTER",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "775-800-1948"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NV",
            "license": "9829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELIZABETH A HUTSON MD LTD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.