Charles W Hollen, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

15779 Issued in OK

Practice address

3525 NW 56TH St
Suite D 100
Oklahoma City, OK 73112-4550

Phone

(405) 942-9200

Fax

(405) 949-1483

NPI assigned

Jul 18, 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

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1205855723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 NW 56TH ST",
            "address_2": "SUITE D 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124550",
            "telephone_number": "405-942-9200",
            "fax_number": "405-949-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 NW 56TH ST",
            "address_2": "SUITE D 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124550",
            "telephone_number": "405-942-9200",
            "fax_number": "405-949-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEN",
        "first_name": "CHARLES",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OK",
            "license": "15779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100124400A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelley M Holland, NP
• Sheri Holland
• Victoria C Holland, LADC/MH CANDIDATE
• William T. Holland III, ARNP
• Rachel Aline Hollen Bublitz, APRN AG-CNS BC
• Amanda Kay Hollenbeck, APRN
• John W Holley
• Crosbie Holliday
• Stephanie Denise Hollier
• Sheridan Denae Hollifield, COTA/L

• Hematology & Oncology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Hematology & Oncology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.

Verify at the official NPI Registry.