Active NPI
Hollis S Coblentz, D.O.
- Family Medicine Physician
- Worcester, MA
National Provider Identifier
1801856455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 71360
- Practice address
- 10 Chestnut St
Worcester, MA 01608-2898 - Phone
- (508) 368-9259
- NPI assigned
- Mar 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 71360 | MA | Primary |
Addresses
Primary practice location
10 Chestnut St
Worcester, MA 01608-2898
Mailing address
7 Elbridge St
Worcester, MA 01609-2711
Phone (508) 831-3002
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71360 | MA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585612800000",
"number": "1801856455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 ELBRIDGE ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016092711",
"telephone_number": "508-831-3002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 CHESTNUT ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016082898",
"telephone_number": "508-368-9259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBLENTZ",
"first_name": "HOLLIS",
"middle_name": "S",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-27",
"last_updated": "2020-03-31",
"certification_date": "2020-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "71360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.