Active NPI
Andrea Jean Holinga, M.D.
- General Practice Physician
- Cincinnati, OH
National Provider Identifier
1053603514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 35.091154
- Practice address
- 625 Athens Ave
Cincinnati, OH 45226-1113 - Phone
- (614) 580-9395
- NPI assigned
- May 3, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 35.091154 | OH | Primary |
Addresses
Primary practice location
625 Athens Ave
Cincinnati, OH 45226-1113
Mailing address
625 Athens Ave
Cincinnati, OH 45226-1113
Phone (614) 580-9395
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)
- Enrolled
- Credentials
- Doctor of Medicine, Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304380800000",
"number": "1053603514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 ATHENS AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452261113",
"telephone_number": "614-580-9395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 ATHENS AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452261113",
"telephone_number": "614-580-9395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLINGA",
"first_name": "ANDREA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-03",
"last_updated": "2011-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OH",
"license": "35.091154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.