Active NPI
John L. Holup, D.O.
- Surgery Physician
- Williamsport, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- OS007311L
- Practice address
- 1100 Grampian Blvd
Williamsport, PA 17701-1909 - Phone
- (570) 326-8550
- NPI assigned
- Feb 6, 2006
- Last updated
- Aug 9, 2016
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | OS007311L | PA | Primary |
Addresses
Primary practice location
1100 Grampian Blvd
Williamsport, PA 17701-1909
Mailing address
1201 Grampian Blvd
Williamsport, PA 17701-1900
Phone (570) 326-8723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS007311L | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Marriott Medical Corp | Surgery | Current | Accepting new patients |
| Middletown Medical PC | Current | Accepting new patients | |
| Middletown Medical PC | Surgery | Current | Accepting new patients |
| Bimc Faculty Practice | Past | Accepting new patients | |
| Pascack Valley Surgical Association PA | Surgery | Past | Accepting new patients |
Locations
222 N Pacific Coast Hwy
Ste 1420
El Segundo, CA 90245
222 N Pacific Coast Hwy
Ste 2175
El Segundo, CA 90245
Phone (877) 850-8762
113 W Essex St
Ste 204
Maywood, NJ 07607
Phone (201) 289-5551
111 Maltese Dr
Middletown, NY 10940
Interoperability endpoints
- john.holup@direct.hvhc.org
Organizations & group practices 6
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.
-
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NJ, NY
-
- Cardiac Rehabilitation Clinic/Center
- Middletown, NY
- NPI 1174201529
-
- Surgery Physician
- Maywood, NJ
- NPI 1003367558
-
- Orthopaedic Surgery Physician
- Englewood, NJ
- NPI 1023314978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470700800000",
"number": "1326010125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 GRAMPIAN BLVD",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177011900",
"telephone_number": "570-326-8723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 GRAMPIAN BLVD",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177011909",
"telephone_number": "570-326-8550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLUP",
"first_name": "JOHN",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2016-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "OS007311L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.