Active NPI
James Finas Holleman III, M.D.
- Internal Medicine Physician
- Tyler, TX
National Provider Identifier
1083692248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- K3241
- Practice address
- 2708 E 5TH St
Tyler, TX 75701-5021 - Phone
- (903) 526-2323
- Fax
- (903) 526-2484
- NPI assigned
- Jan 6, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | K3241 | TX | Primary |
Addresses
Primary practice location
2708 E 5TH St
Tyler, TX 75701-5021
Mailing address
2708 E 5TH St
Tyler, TX 75701-5021
Phone (903) 526-2323
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00333M | Other | TX | BLUE CROSS BLUE SHIELD |
| P00060421 | Other | TX | RAILROAD MEDICARE |
| 140814802 | Medicaid | TX |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James F. Holleman, III, MD, PA | Internal Medicine | Past | Accepting new patients |
| Sundown Ranch, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Tyler, TX
- NPI 1285728162
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- NPI 1225173263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1083692248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2708 E 5TH ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757015021",
"telephone_number": "903-526-2323",
"fax_number": "903-526-2484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2708 E 5TH ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757015021",
"telephone_number": "903-526-2323",
"fax_number": "903-526-2484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLEMAN",
"first_name": "JAMES",
"middle_name": "FINAS",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "K3241",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00333M",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00060421",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "140814802",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.