Adam Hollenback

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

AZ-4388 Issued in AZ

Practice address

1515 E Ridgeview Dr
Cottonwood, AZ 86326-6507

Phone

(480) 216-0410

NPI assigned

Aug 8, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1366273682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 391",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863260391",
            "telephone_number": "480-216-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E RIDGEVIEW DR",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863266507",
            "telephone_number": "480-216-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLENBACK",
        "first_name": "ADAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "AZ-4388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Alan Hicks, MSW, LISAC, BHP
• Lisa Hill, RDN
• Tricia Marie Hill
• Nancy Ruth Hodges, LPN
• Ashton Morgan Hoffman, D.C.
• Peter Holter, R.PH.
• USA Hongyok, PA-C
• Elwood Wilbur Hopkins, III, MD, PHD
• Riley Kathleen Hordon
• Martha Manning Horton

• Medical Physician Assistant in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.