Michael G Hollomon, MD

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

R2597 Issued in AR

Practice address

601 W Maple
Suite 403
Springdale, AR 72764-5374

Phone

(479) 750-2742

Fax

(479) 750-2742

NPI assigned

May 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ozark Guidance Center, Inc

  • Family Medicine Physician
  • Springdale, AR
  • NPI 1659945194
  NPD (past)

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1184674962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WEST MAPLE",
            "address_2": "SUITE 403",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645374",
            "telephone_number": "479-750-2742",
            "fax_number": "479-750-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W MAPLE",
            "address_2": "SUITE 403",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645374",
            "telephone_number": "479-750-2742",
            "fax_number": "479-750-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOMON",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "AR",
            "license": "R2597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103605001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Cathryn Hoge
• Kristyn Taylor Holland I, SLP
• Traci Lynn Holland
• Stacy Lynn Hollandsworth, INTERN
• Amanda Irene Hollingsworth, MD
• Jessica Rae Hollon, LMSW
• Haley Faith Holloway, OTD, OTR/L
• Samuel Ross Holloway
• Whitney Hollowell, PTA
• Ashley Altazin Holman, DDS

• Geriatric Psychiatry Physician in Springdale, AR
• Providers in Springdale, AR by specialty
• Geriatric Psychiatry Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.