Individual provider Active NPI

M Lance Holemon, M.D.

  • Obstetrics & Gynecology Physician
  • Scottsdale, AZ
National Provider Identifier
1225069115
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
AZ12368 Issued in AZ
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
229410MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051230000650 AZ Practitioner - Obstetrics/Gynecology 1850337312 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
AZ12368AZMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caring for Women, PC Obstetrics & Gynecology Current Accepting new patients
Valerie J Scholten MD PC CurrentSince Jan 1, 2017 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.

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

Sources for this page

Verify at the official NPI Registry.