Active NPI
Marlee Holleran
- Physician Assistant
- East Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 026826
- Practice address
- 281 Sanders Creek Pkwy
East Syracuse, NY 13057-1307 - Phone
- (315) 454-6000
- NPI assigned
- Jul 20, 2021
- Last updated
- Jul 20, 2021
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 026826 | NY | Primary |
Addresses
Primary practice location
281 Sanders Creek Pkwy
East Syracuse, NY 13057-1307
Mailing address
2568 State Route 28
Mohawk, NY 13407-3813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, PA, IL, MI, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1425 Route 300
Newburgh, NY 12550-2908
Phone (845) 674-9735
1438 Western Ave
Albany, NY 12203-3421
Phone (518) 649-9986
1600 Erie Blvd E
Syracuse, NY 13210-1212
Phone (315) 401-3204
200 E 1St St
Oswego, NY 13126-2662
Phone (315) 207-7391
2524 N Illinois St
Swansea, IL 62226-2353
Phone (618) 212-3144
26 Bolivar Dr
Bradford, PA 16701-3125
Phone (814) 817-4690
271 Grant Ave
Suite 100
Auburn, NY 13021-1407
Phone (315) 704-6097
3800 W Genesee St
Syracuse, NY 13219-1928
Phone (315) 552-9080
4211 N Cicero Ave
Chicago, IL 60641-1651
Phone (773) 794-1000
445 Balltown Rd
Suite 1
Schenectady, NY 12304-2269
Phone (518) 387-3566
446 Fairview Ave
Suite 200
Hudson, NY 12534-1048
Phone (518) 267-3496
5001 State Hwy 23
Oneonta, NY 13820-4508
Phone (607) 376-5346
514 S 2ND St
Fulton, NY 13069-2804
Phone (315) 552-9104
655 E Dubois Ave
Du Bois, PA 15801-3605
Phone (814) 913-3097
6870 E Genesee St
Fayetteville, NY 13066-1031
Phone (315) 679-4367
721 E Main St
Cobleskill, NY 12043-3801
Phone (518) 657-3639
7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064
8003 Brewerton Rd
Cicero, NY 13039-9528
Phone (315) 288-4006
917 S Saint Marys St
Saint Marys, PA 15857-2828
Phone (814) 389-1026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026826 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellnow Urgent Care, PC | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, PC | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients |
Locations
13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384
1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835
446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496
7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064
26 Bolivar Dr
Bradford, PA 16701
Phone (814) 817-4690
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba WellNow Urgent Care
- Urgent Care Clinic/Center
- Liverpool, NY
- NPI 1669825162
IL, PA
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1205814118
-
dba Hometown Urgent Care
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1790030385
MI
-
dba WellNow Clinical Laboratory
- Clinical Medical Laboratory
- Kalamazoo, MI
- NPI 1891469631
-
dba WellNow Clinical Laboratory
- Clinical Medical Laboratory
- Indianapolis, IN
- NPI 1881358489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626739200000",
"number": "1023681855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2568 STATE ROUTE 28",
"city": "MOHAWK",
"state": "NY",
"postal_code": "134073813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 SANDERS CREEK PKWY",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130571307",
"telephone_number": "315-454-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLERAN",
"first_name": "MARLEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-20",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "026826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.