Active NPI
Joseph B Hollis MD PC
- Gastroenterology Physician
- Portsmouth, VA
National Provider Identifier
1326099557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 0101028352
- Legal business name
- JOSEPH B HOLLIS MD PC
- Practice address
- 1211 Rodman Ave
Portsmouth, VA 23707-3915 - Phone
- (757) 397-2493
- Fax
- (757) 397-7189
- NPI assigned
- May 12, 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
- Joseph B Hollis, MD
- Title
- Owner
- Phone
- (757) 397-2493
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 0101028352 | VA | Primary |
Addresses
Primary practice location
1211 Rodman Ave
Portsmouth, VA 23707-3915
Mailing address
1211 Rodman Ave
Portsmouth, VA 23707-3915
Phone (757) 397-2493
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7905835 | Medicaid | NC | |
| 011633 | Other | VA | ANTHEM BLUE CROSS BLUE SH |
National Provider Directory
National Provider DirectoryLocations
1211 Rodman Ave
Portsmouth, VA 23707
Phone (757) 397-2493
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- Virginia Beach, VA
- NPI 1093736464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196208000000",
"number": "1326099557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 RODMAN AVE",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237073915",
"telephone_number": "757-397-2493",
"fax_number": "757-397-7189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 RODMAN AVE",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237073915",
"telephone_number": "757-397-2493",
"fax_number": "757-397-7189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH B HOLLIS MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-12",
"last_updated": "2007-11-28",
"status": "A",
"authorized_official_last_name": "HOLLIS",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "757-397-2493",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "VA",
"license": "0101028352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7905835",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SH",
"identifier": "011633",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.