Active NPI
Jason Hollady, MD
- Family Medicine Physician
- Durand, MI
National Provider Identifier
1154470565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- JM043634
- Practice address
- 213 N Mercer St
Durand, MI 48429-1418 - Phone
- (989) 288-2100
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | JM043634 | MI | Primary |
Addresses
Primary practice location
213 N Mercer St
Durand, MI 48429-1418
Mailing address
213 N Mercer St
Durand, MI 48429-1418
Phone (989) 288-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100329000172 | MI | Practitioner - General Practice | 3274669379 | Practice locations: Durand, MI |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Michigan State University College of Human Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
213 N Mercer St
Durand, MI 48429-1418
Phone (989) 288-2100
Hospital & facility affiliations
- Memorial Healthcare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| JM043634 | MI | MD | Family Medicine Physician |
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154470565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 N MERCER ST",
"city": "DURAND",
"state": "MI",
"postal_code": "484291418",
"telephone_number": "989-288-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 N MERCER ST",
"city": "DURAND",
"state": "MI",
"postal_code": "484291418",
"telephone_number": "989-288-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLADY",
"first_name": "JASON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "JM043634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durand, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.