NPIMap

Individual provider Active NPI

James Lance Holtcamp, P.A.

  • Medical Physician Assistant
  • Crown Point, IN
National Provider Identifier
1285828350
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1047484 Issued in IN
Practice address
5521 W Lincoln Hwy
Suite 100
Crown Point, IN 46307-1097
Phone
(219) 756-6100
Fax
(219) 756-6111
NPI assigned
Aug 31, 2007
Last updated
Aug 31, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1047484 IN Primary

Addresses

Primary practice location

5521 W Lincoln Hwy
Suite 100
Crown Point, IN 46307-1097

Mailing address

5521 W Lincoln Hwy
Suite 100
Crown Point, IN 46307-1097
Phone (219) 756-6100

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)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1047484INMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188518400000",
    "number": "1285828350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5521 W LINCOLN HWY",
            "address_2": "SUITE 100",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071097",
            "telephone_number": "219-756-6100",
            "fax_number": "219-756-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5521 W LINCOLN HWY",
            "address_2": "SUITE 100",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071097",
            "telephone_number": "219-756-6100",
            "fax_number": "219-756-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTCAMP",
        "first_name": "JAMES",
        "middle_name": "LANCE",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "1047484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.