Active NPI
John T Hollon, MD
- Internal Medicine Physician
- Wilmington, OH
National Provider Identifier
1124092846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35-038494H
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0437601 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-038494H | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RCHP - Wilmington LLC | Current | Accepting new patients | |
| Alliance Physicians Inc | Internal Medicine | Current | Accepting new patients |
| RCHP-Wilmington, LLC | Current | Accepting new patients | |
| Beavercreek Medical Center | Past | Accepting new patients |
Locations
31 Farquhar Ave
Wilmington, OH 45177
Phone (937) 283-2273
Interoperability endpoints
- 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.
-
- Emergency Medicine Physician
- Wilmington, OH
- NPI 1063715712
-
- Psychiatric Hospital Unit
- Wilmington, OH
- NPI 1801229034
-
- General Acute Care Hospital
- Beavercreek, OH
- NPI 1760764849
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.