Individual provider Active NPI

Lawrence Holen, D.O.

  • Orthopaedic Surgery Physician
  • Marlette, MI
National Provider Identifier
1205936176
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301006708 Issued in MI
Practice address
2750 Main St
Suite 6
Marlette, MI 48453-1100
Phone
(989) 635-7007
Fax
(989) 635-2640
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301006708 MI Primary

Addresses

Primary practice location

2750 Main St
Suite 6
Marlette, MI 48453-1100

Mailing address

2750 Main St
Suite 6
Marlette, MI 48453-1100
Phone (989) 635-7007

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
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4301006708MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marlette Regional Hospital CurrentSince Feb 20, 2006 Accepting new patients
Marlette Regional Hospital CurrentSince Feb 20, 2006 Accepting new patients

Locations

2770 Main St
Marlette, MI 48453
Phone (989) 635-4000

2750 Main St
Ste 5
Marlette, MI 48453
Phone (989) 635-4050

2750 Main St
Ste 6
Marlette, MI 48453
Phone (810) 376-2885

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1205936176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 MAIN ST",
            "address_2": "SUITE 6",
            "city": "MARLETTE",
            "state": "MI",
            "postal_code": "484531100",
            "telephone_number": "989-635-7007",
            "fax_number": "989-635-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 MAIN ST",
            "address_2": "SUITE 6",
            "city": "MARLETTE",
            "state": "MI",
            "postal_code": "484531100",
            "telephone_number": "989-635-7007",
            "fax_number": "989-635-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLEN",
        "first_name": "LAWRENCE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301006708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.

Verify at the official NPI Registry.