Active NPI
Michael R. Holland, M.D.
- Specialist
- Jennings, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 09408R
- Practice address
- 1 Hospital Drive
Suite 100
Jennings, LA 70546 - Phone
- (337) 824-3819
- Fax
- (337) 824-0160
- NPI assigned
- Sep 12, 2005
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 09408R | LA | Primary |
Addresses
Primary practice location
1 Hospital Drive
Suite 100
Jennings, LA 70546
Mailing address
1 Hospital Drive
Suite 100
Jennings, LA 70546
Phone (337) 824-3819
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1951536 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Louisiana State University School of Medicine in New Orleans, 1991
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1 Hospital Dr
Suite 100
Jennings, LA 70546-3641
Phone (337) 824-3819
1717 Oak Park Blvd
FL 3
Lake Charles, LA 70601-8990
Phone (337) 494-4900
Hospital & facility affiliations
- Jeff Davis MD Homecare
- Nursing Specialties
- Professional HHS of Southwest Louisiana
- Allegiance Home Health of South Louisiana
- Acadia General Hospital
- Ochsner American Legion Hospital
- Acadian Medical Center
- Lake Charles Memorial Hospital
- Ochsner Lafayette General Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 20 |
| Knee replacement | 34 |
| Spinal fusion | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 12 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 16 |
| Laminectomy or laminotomy (partial removal of spine bones) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09408R | LA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael R. Holland, M.D., Inc. | Specialist | Current | Accepting new patients |
| Lake Charles Medical Services Orthopedics Associates LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
1 Hospital Dr
Ste 100
Jennings, LA 70546
Phone (337) 824-3819
1717 Oak Park Blvd
Fl 3
Lake Charles, LA 70601
Phone (337) 494-4900
4345 Nelson Rd
Lake Charles, LA 70605
Phone (337) 480-7900
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Rehabilitation Hospital of Jennings | Hospital | General Partnership Interest (53.88%) Corporate Director |
Feb 22, 2001 Dec 18, 2007 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Rehabilitation Hospital
- Jennings, LA
- NPI 1043216583
Corporate Director, General Partnership Interest
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Jennings, LA
- NPI 1134963697
-
- Orthopaedic Surgery Physician
- Lake Charles, LA
- NPI 1962695361
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crowley, LA
- NPI 1669882940
-
- Home Health Agency
- Eunice, LA
- NPI 1720842537
-
- General Acute Care Hospital
- Eunice, LA
- NPI 1396394961
-
- Home Health Agency
- Crowley, LA
- NPI 1235136227
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
-
- Home Health Agency
- Jennings, LA
- NPI 1588112239
-
- Home Health Agency
- Lafayette, LA
- NPI 1528138112
-
- General Acute Care Hospital
- Jennings, LA
- NPI 1184373268
-
- Gastroenterology Physician
- Lake Charles, LA
- NPI 1285351411
Hospital
-
- Rheumatology Physician
- Lake Charles, LA
- NPI 1659424075
Hospital
-
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1972549855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402963200000",
"number": "1366436891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOSPITAL DRIVE",
"address_2": "SUITE 100",
"city": "JENNINGS",
"state": "LA",
"postal_code": "70546",
"telephone_number": "337-824-3819",
"fax_number": "337-824-0160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HOSPITAL DRIVE",
"address_2": "SUITE 100",
"city": "JENNINGS",
"state": "LA",
"postal_code": "70546",
"telephone_number": "337-824-3819",
"fax_number": "337-824-0160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "MICHAEL",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2014-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "09408R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1951536",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jennings, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.