Active NPI
James F. Holleman, III, MD, PA
- Internal Medicine Physician
- Tyler, TX
National Provider Identifier
1285728162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- K3241
- Legal business name
- JAMES F. HOLLEMAN, III, MD, PA
- Practice address
- 2708 E 5TH St
Tyler, TX 75701-5021 - Phone
- (903) 526-2323
- Fax
- (903) 526-2484
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Finas Holleman III, M.D.
- Title
- President
- Phone
- (903) 526-2323
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | K3241 | TX | Primary |
Addresses
Primary practice location
2708 E 5TH St
Tyler, TX 75701-5021
Mailing address
2708 E 5TH St
Tyler, TX 75701-5021
Phone (903) 526-2323
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 167503501 | Medicaid | TX | |
| DA4810 | Other | TX | GROUP RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
10632 S Memorial Dr
Ste 297
Tulsa, OK 74133
2708 E 5th St
Tyler, TX 75701
Phone (903) 526-2323
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Tyler, TX
- NPI 1083692248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1447286400000",
"number": "1285728162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2708 E 5TH ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757015021",
"telephone_number": "903-526-2323",
"fax_number": "903-526-2484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2708 E 5TH ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757015021",
"telephone_number": "903-526-2323",
"fax_number": "903-526-2484"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES F. HOLLEMAN, III, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2015-11-12",
"status": "A",
"authorized_official_last_name": "HOLLEMAN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "FINAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "903-526-2323",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "K3241",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "167503501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP RAILROAD MEDICARE",
"identifier": "DA4810",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.