Active NPI
William T. Holland III, ARNP
- Nurse Practitioner
- Oklahoma City, OK
National Provider Identifier
1124098769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 42768
- Practice address
- 4300 W Memorial Rd
ER Dept
Oklahoma City, OK 73120-8304 - Phone
- (405) 755-1515
- Fax
- (405) 749-4561
- NPI assigned
- Jan 25, 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 42768 | OK | Primary |
Addresses
Primary practice location
4300 W Memorial Rd
ER Dept
Oklahoma City, OK 73120-8304
Mailing address
4401 W Memorial Rd
Suite 121
Oklahoma City, OK 73134-1785
Phone (405) 751-4664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20006230A | Medicaid | OK |
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
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seminole Health Center LLC | Past | Accepting new patients | |
| Mercy Health Services Inc. | Past | Accepting new patients | |
| TSG Physicians Group | Past | Accepting new patients | |
| Integris Bass Baptist Health Center | Past | Accepting new patients | |
| Oklahoma Cardiovascular Associates, PC | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Rural Health Clinic/Center
- Medford, OK
- NPI 1730180894
-
- Medical Specialty Clinic/Center
- Yukon, OK
- NPI 1255398251
-
- Cardiovascular Disease Physician
- Oklahoma City, OK
- NPI 1598759730
-
- Medicare Defined Swing Bed Hospital Unit
- Seminole, OK
- NPI 1144278920
-
- Family Medicine Physician
- Stroud, OK
- NPI 1205884145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211500800000",
"number": "1124098769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4401 W MEMORIAL RD",
"address_2": "SUITE 121",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731341785",
"telephone_number": "405-751-4664",
"fax_number": "405-749-4561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 W MEMORIAL RD",
"address_2": "ER DEPT",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731208304",
"telephone_number": "405-755-1515",
"fax_number": "405-749-4561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "WILLIAM",
"middle_name": "T.",
"name_suffix": "III",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2008-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OK",
"license": "42768",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20006230A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.