Individual provider Active NPI

Lawrence Holloway III, NP

  • Nurse Practitioner
  • Macomb, MI
National Provider Identifier
1376920819
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704273835 Issued in MI
Practice address
46591 Romeo Plank Rd Ste 133
Macomb, MI 48044-5705
Phone
(586) 333-5336
NPI assigned
May 5, 2015
Last updated
Sep 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704273835 MI Primary

Addresses

Primary practice location

46591 Romeo Plank Rd Ste 133
Macomb, MI 48044-5705

Mailing address

46591 Romeo Plank Rd Ste 133
Macomb, MI 48044-5705
Phone (586) 333-5336

Other practice location 1

2510 S Telegraph Rd
Bloomfield, MI 48302-0241
Phone (248) 454-0442

Other practice location 2

2265 S Linden Rd
Suite A
Flint, MI 48532-5408
Phone (810) 720-8700

Other practice location 3

57850 Van Dyke Rd
Washington, MI 48094-3826
Phone (586) 935-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170821000291 MI Practitioner - Nurse Practitioner 8224300637 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.07 of 100Reported as group
Quality
70.44
Improvement activities
40
Cost
54.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Somerset Urgent Care PLLC CurrentSince May 7, 2021 Accepting new patients
Longevity Accountable Care, PA CurrentSince Jul 31, 2024 Accepting new patients
Longevity Accountable Care, PA CurrentSince Jul 31, 2024 Accepting new patients
Elizabeth Lake Urgent Care PLLC CurrentSince Sep 6, 2017 Accepting new patients
Somerset Urgent Care PLLC CurrentSince May 7, 2021 Accepting new patients
Oxford Urgent Care P L C CurrentSince Jan 31, 2020 Accepting new patients
Lakeside Urgent Care, P. C. Current Accepting new patients
Lakeside Urgent Care, P.C. CurrentSince Jan 31, 2020 Accepting new patients
Washington Urgent Care, PLLC CurrentSince Sep 6, 2017 Accepting new patients
Brian T. Gietzen, M. D., P. C. CurrentSince Mar 16, 2022 Accepting new patients
Royal Urgent Care, PLLC CurrentSince May 13, 2018 Accepting new patients
First Choice Urgent Care PC PastSince Sep 6, 2017 Accepting new patients
Genesee Urgent Care, P.C. Nurse Practitioner PastSince Jul 1, 2001 Accepting new patients

Locations

44472 Hayes Rd
Clinton Twp, MI 48038
Phone (586) 412-0890

8045 E Jefferson Ave
Detroit, MI 48214
Phone (313) 821-3525

2320 E Beltline Ave SE
Grand Rapids, MI 49546
Phone (616) 949-3000

72 S Washington St
Ste 102
Oxford, MI 48371
Phone (248) 236-8333

1460 Walton Blvd
Ste 200
Rochester Hills, MI 48309
Phone (248) 650-1800

2632 S Rochester Rd
Unit 70747
Rochester Hills, MI 48307

2708 S Rochester Rd
Ste A
Rochester Hills, MI 48307
Phone (248) 309-3344

4080 Crooks Rd
Royal Oak, MI 48073
Phone (248) 280-1080

1500 W Big Beaver Rd
Ste 104
Troy, MI 48084
Phone (248) 649-4444

12250 E 12 Mile Rd
Warren, MI 48093
Phone (313) 432-1200

31200 Mound Rd
Warren, MI 48092
Phone (248) 850-8395

7701 26 Mile Rd
Washington, MI 48094
Phone (586) 935-4000

57850 Van Dyke Rd
Ste 100
Washington Twp, MI 48094
Phone (586) 203-2020

2446 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 309-3344

Interoperability endpoints

  • Direct secure messaging: lholloway785717@direct.hfhs.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568160000000",
    "number": "1376920819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46591 ROMEO PLANK RD STE 133",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480445705",
            "telephone_number": "586-333-5336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46591 ROMEO PLANK RD STE 133",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480445705",
            "telephone_number": "586-333-5336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2510 S Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomfield",
            "state": "MI",
            "postal_code": "483020241",
            "country_code": "US",
            "telephone_number": "248-454-0442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2265 S Linden Rd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485325408",
            "country_code": "US",
            "telephone_number": "810-720-8700",
            "fax_number": "810-733-2685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "57850 Van Dyke Rd",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "MI",
            "postal_code": "480943826",
            "country_code": "US",
            "telephone_number": "586-935-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "LAWRENCE",
        "name_suffix": "III",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-05",
        "last_updated": "2019-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704273835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macomb, MI

Sources for this page

Verify at the official NPI Registry.