Christian L Holcomb, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

236483-1 Issued in NY

Practice address

8134A Oswego Rd
Liverpool, NY 13090

Phone

(315) 409-4514

Fax

(315) 409-4537

NPI assigned

Jan 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northway Medical Associates, PLLC

  • Family Medicine Physician
  • Fulton, NY
  • NPI 1952493686

  Family Medicine, NY

  Medicare reassignment NPD

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1124008263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8134A OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "13090",
            "telephone_number": "315-409-4514",
            "fax_number": "315-409-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8134A OSWEGO RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "13090",
            "telephone_number": "315-409-4514",
            "fax_number": "315-409-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "CHRISTIAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "236483-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2723875",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Hilts
• Jennifer Hinds, PA-C
• Gail Jewell Hinman
• Theresa Hobbs
• Antoinette (Toni) Hoelting, L.AC
• Lisa M Hollady
• Yasmin Hollowitz, APRN
• Richard A Holt, PHARMD
• Lin Hong
• David R Hootnick, MD

• All providers in Liverpool, NY
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.