Active NPI
M Lance Holemon, M.D.
- Obstetrics & Gynecology Physician
- Scottsdale, AZ
National Provider Identifier
1225069115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- AZ12368
- Practice address
- 5533 E Bell Rd
Ste 103
Scottsdale, AZ 85254-1256 - Phone
- (602) 466-1111
- Fax
- (602) 466-1111
- NPI assigned
- Jul 6, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | AZ12368 | AZ | Primary |
Addresses
Primary practice location
5533 E Bell Rd
Ste 103
Scottsdale, AZ 85254-1256
Mailing address
15255 N 40TH St Suite 105
Phoenix, AZ 85032
Phone (602) 867-2690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 229410 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AZ12368 | AZ | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caring for Women, PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Valerie J Scholten MD PC | Current | Accepting new patients |
Locations
5533 E Bell Rd
Ste 103
Scottsdale, AZ 85254
Phone (602) 466-1111
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.
-
- Obstetrics Physician
- Scottsdale, AZ
- NPI 1528379658
-
- Obstetrics & Gynecology Physician
- Phoenix, AZ
- NPI 1417078130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1225069115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15255 N 40TH ST SUITE 105",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85032",
"telephone_number": "602-867-2690",
"fax_number": "602-404-1904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5533 E BELL RD",
"address_2": "STE 103",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852541256",
"telephone_number": "602-466-1111",
"fax_number": "602-466-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLEMON",
"first_name": "M",
"middle_name": "LANCE",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AZ",
"license": "AZ12368",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "229410",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
- Chad Holden, PHARM.D.
- Paul Kenneth Holden, M.D.
- Samantha Lynn Holder, D.D.S.
- Holding Hands LLC Dba Home Helpers
- Melissa Ann Holeczy, NP-C
- Scott Kistler Holemon, M.D.
- Laura Strauch Holgate, RN, BSN, MSN
- Holistic Behavioral & Psychological Services, Corp.
- Holistic Family Care, PLLC
- Holistic Mental Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.