NATHANIEL C. HOLLISTER MD – NPI #1104406586
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

NATHANIEL HOLLISTER is a physician located in FORT MOHAVE, AZ. NPPES has assigned the NPI number 1104406586 to NATHANIEL HOLLISTER on April 10, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was last updated on Jul 11, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NATHANIEL HOLLISTER below.

NPI Profile for
NATHANIEL C. HOLLISTER

NPI Number
1104406586
Enumeration Date

(more than 5 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
NATHANIEL C. HOLLISTER
Credentials
MD
Primary location
5330 S HIGHWAY 95
FORT MOHAVE, AZ 86426-9225
Phone: (928) 788-2273 Fax:
1 Other location(s):
901 Rancho Ln Ste 135
Las Vegas, NV 89106-3826
Phone: (702) 383-7885
Mailing address
901 RANCHO LN STE 135
LAS VEGAS, NV 89106-3826
Phone: (702) 383-7885 Fax:
Sole Proprietor
No
Updated
Certification Date
Jul 11, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
AZ 73509
390200000X
- Student in an Organized Health Care Education/Training Program

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.