Organization Active NPI

Main Medical, Inc.

  • Specialist
  • Wilmington, OH
National Provider Identifier
1124110606
Registry record updated Apr 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35038494H Issued in OH
Legal business name
MAIN MEDICAL, INC.
Practice address
222 W Main St
Wilmington, OH 45177-2241
Phone
(937) 383-1123
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2022

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

Authorized official

Name
Dr. John Thomas Hollon, MD
Title
Doctor/President
Phone
(937) 382-0918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 35038494H 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) 383-1123

Other identifiers 1

IdentifierTypeStateIssuer
0437594MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648857600000",
    "number": "1124110606",
    "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": "937-383-1123"
        },
        {
            "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": "937-383-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A",
        "authorized_official_last_name": "HOLLON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DOCTOR/PRESIDENT",
        "authorized_official_telephone_number": "937-382-0918",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35038494H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0437594",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "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 Apr 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.