Individual provider Active NPI

John T Hollon, MD

  • Internal Medicine Physician
  • Wilmington, OH
National Provider Identifier
1124092846
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-038494H Issued in OH
Practice address
222 W Main St
Wilmington, OH 45177-2241
Phone
(937) 382-0918
Fax
(937) 383-1123
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-038494H OH Primary

Addresses

Primary practice location

222 W Main St
Wilmington, OH 45177-2241

Mailing address

222 W Main St
Wilmington, OH 45177-2241
Phone (937) 382-0918

Other identifiers 1

IdentifierTypeStateIssuer
0437601MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jhollon197383@direct.ketteringhealth.org
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20070817000130 OH Practitioner - Internal Medicine 0749372944 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-038494HOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RCHP - Wilmington LLC CurrentSince Dec 1, 2010 Accepting new patients
Alliance Physicians Inc Internal Medicine Current Accepting new patients
RCHP-Wilmington, LLC CurrentSince Dec 1, 2010 Accepting new patients
Beavercreek Medical Center Past Accepting new patients

Locations

31 Farquhar Ave
Wilmington, OH 45177
Phone (937) 283-2273

Interoperability endpoints

  • Direct secure messaging: johollon@yourcarecommunity.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1124092846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W MAIN ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772241",
            "telephone_number": "937-382-0918",
            "fax_number": "937-383-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W MAIN ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772241",
            "telephone_number": "937-382-0918",
            "fax_number": "937-383-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLON",
        "first_name": "JOHN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-038494H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0437601",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhollon197383@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "222 W Main St",
            "city": "Wilmington",
            "state": "OH",
            "country_code": "US",
            "postal_code": "451772241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "222 W Main St",
            "city": "Wilmington",
            "state": "OH",
            "country_code": "US",
            "postal_code": "451772241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

Verify at the official NPI Registry.