Johanna Mae Hobbs, CSA
Individual provider Active NPI Surgical Assistant · Muldraugh, KY
NPI 1992941694 · NPPES record last updated Nov 20, 2010
Key facts
- NPI
- 1992941694
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Assistant 246ZC0007X
- License
- SA177 (KY)
- Practice address
- 101 E Garnettsville Rd
Muldraugh, KY 40155-1137 - Phone
- (502) 938-8691
- NPI assigned
- Dec 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA177 | KY | MD | Surgical Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | SA177 | KY | Yes |
Addresses
Primary practice location
101 E Garnettsville Rd
Muldraugh, KY 40155-1137
Mailing address
101 E Garnettsville Rd
Muldraugh, KY 40155-1137
Phone (502) 938-8691
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.