Individual provider Active NPI

Justin Joseph Hollander, D.O.

  • Pediatric Orthopaedic Surgery Physician
  • Traverse City, MI
National Provider Identifier
1053538868
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
5101016797 Issued in MI
Practice address
5246 N Royal Dr
Traverse City, MI 49684-6984
Phone
(231) 935-0957
Fax
(231) 935-0960
NPI assigned
Apr 20, 2007
Last updated
Dec 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X 5101016797 MI Primary

Addresses

Primary practice location

5246 N Royal Dr
Traverse City, MI 49684-6984

Mailing address

5246 N Royal Dr
Traverse City, MI 49684-6984
Phone (231) 935-0957

Other practice location 1

2147 Professional Dr
Gaylord, MI 49735-0003
Phone (989) 732-1753

Other practice location 2

1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 935-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhollander@tcortho.directglo.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110815000573 MI Practitioner - Orthopedic Surgery 0042489734 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Helen Newberry Joy HospitalGroup PAC ID 5799671285, shared by 7 NPIs, 36 clinicians
Dr Justin J Hollander PCGroup PAC ID 0244409928, 2 clinicians
Great Lakes Therapy Housecalls PCGroup PAC ID 7719876580, shared by 2 NPIs, 71 clinicians

Practice addresses (Care Compare)

502 W Harrie St
Newberry, MI 49868-1209
Phone (906) 293-9200

5246 N Royal Dr
Traverse City, MI 49684-6984
Phone (231) 935-0957

9731 E Cherry Bend Rd
Traverse City, MI 49684-7621
Phone (231) 941-8100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement15
Knee replacement35
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center Current Accepting new patients
Portage Physician Practices Inc CurrentSince Feb 1, 2024 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center CurrentSince Apr 17, 2025 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Portage Physician Practices Inc CurrentSince Feb 1, 2024 Accepting new patients
Dr Justin J Hollander PC CurrentSince Jul 1, 2011 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center Current Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Nov 9, 2020 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Nov 9, 2020 Accepting new patients
Munson Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Helen Newberry Joy Hospital & Healthcare Center Current Accepting new patients
Munson Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Portage Hospital LLC Past Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

2147 Professional Dr
Gaylord, MI 49735
Phone (989) 732-1400

829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000

500 Campus Dr
Ste 5
Hancock, MI 49930
Phone (906) 483-1700

502 W Harrie St
Newberry, MI 49868
Phone (906) 293-9131

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

5246 N Royal Dr
Traverse City, MI 49684
Phone (231) 929-0303

5246 N Royal Dr
Ste A
Traverse City, MI 49684
Phone (231) 935-0957

Interoperability endpoints

  • Direct secure messaging: jhollander@tcortho.directglo.com
  • Direct secure messaging: justin.hollander.1@8233.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1053538868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5246 N ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846984",
            "telephone_number": "231-935-0957",
            "fax_number": "231-935-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5246 N ROYAL DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846984",
            "telephone_number": "231-935-0957",
            "fax_number": "231-935-0960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2147 Professional Dr",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497350003",
            "country_code": "US",
            "telephone_number": "989-732-1753",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 Sixth St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842345",
            "country_code": "US",
            "telephone_number": "231-935-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLANDER",
        "first_name": "JUSTIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "MI",
            "license": "5101016797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhollander@tcortho.directglo.com",
            "affiliation": "N",
            "address_1": "5246 N Royal Dr",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496846984",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.