Active NPI
Justin Hollon, M.D.
- Pediatric Gastroenterology Physician
- Portsmouth, VA
National Provider Identifier
1003011180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 0101244427
- Practice address
- 620 John Paul Jones Circle
Naval Medical Center Portsmouth
Portsmouth, VA 23708 - Phone
- (757) 953-4529
- Fax
- (757) 953-3293
- NPI assigned
- Jun 18, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 0101244427 | VA | Primary |
Addresses
Primary practice location
620 John Paul Jones Circle
Naval Medical Center Portsmouth
Portsmouth, VA 23708
Mailing address
620 John Paul Jones Circle
Naval Medical Center Portsmouth
Portsmouth, VA 23708
Phone (757) 953-4529
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101244427 | VA | MD | Pediatric Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397001600000",
"number": "1003011180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 JOHN PAUL JONES CIRCLE",
"address_2": "NAVAL MEDICAL CENTER PORTSMOUTH",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "23708",
"telephone_number": "757-953-4529",
"fax_number": "757-953-3293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 JOHN PAUL JONES CIRCLE",
"address_2": "NAVAL MEDICAL CENTER PORTSMOUTH",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "23708",
"telephone_number": "757-953-4529",
"fax_number": "757-953-3293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLON",
"first_name": "JUSTIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-18",
"last_updated": "2014-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "VA",
"license": "0101244427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.