Individual provider Active NPI

Greg C. Holland, MD

  • Plastic and Reconstructive Surgery Physician
  • Columbus, OH
National Provider Identifier
1316991268
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
35057302 Issued in OH
Practice address
85 McNaughten Rd Ste 130
Columbus, OH 43213-5111
Phone
(614) 863-2745
Fax
(614) 863-2759
NPI assigned
May 22, 2006
Last updated
Jan 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 35057302 OH
Surgery Physician 208600000X 35057302 OH
Plastic and Reconstructive Surgery Physician 2086S0122X 35057302 OH Primary

Addresses

Primary practice location

85 McNaughten Rd Ste 130
Columbus, OH 43213-5111

Mailing address

6075 E Broad St
Columbus, OH 43213-5131
Phone (614) 864-6363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120417000070 OH Practitioner - General SurgeryPractitioner - Plastic and Reconstructive Surgery 2365603404 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35057302OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Carmel Health System Surgery CurrentSince May 1, 2024 Accepting new patients
Mount Carmel Health System CurrentSince May 1, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Columbus Cardiology Care, LLC Past Accepting new patients

Locations

120 S Green St
Columbus, OH 43222
Phone (614) 225-9321

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

750 Mount Carmel Mall
Ste 380
Columbus, OH 43222
Phone (614) 224-1399

750 Mount Carmel Mall
Ste 390
Columbus, OH 43222
Phone (614) 224-2828

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

Interoperability endpoints

  • Direct secure messaging: gholland@cosadocs.gwaydirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1316991268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6075 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432135131",
            "telephone_number": "614-864-6363",
            "fax_number": "614-864-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 MCNAUGHTEN RD STE 130",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432135111",
            "telephone_number": "614-863-2745",
            "fax_number": "614-863-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "GREG",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35057302",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35057302",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OH",
            "license": "35057302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.