NPIMap

Individual provider Active NPI

Thomas Hollandsworth, MD

  • Family Medicine Physician
  • Onley, VA
National Provider Identifier
1386622611
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101059233 Issued in VA
Practice address
20306 Badger Lane
Onley, VA 23418
Phone
(757) 787-7374
Fax
(757) 787-4513
NPI assigned
Jan 6, 2006
Last updated
Mar 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101059233 VA Primary

Addresses

Primary practice location

20306 Badger Lane
Onley, VA 23418

Mailing address

20280 Market St
Onancock, VA 23417-1331
Phone (757) 787-7374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101108000413 VA Practitioner - Family Practice 7012102890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4049 Main St
Chincoteague, VA 23336-2406
Phone (757) 336-3682

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101059233VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Shore Rural Health System Incorporated CurrentSince Jul 15, 1999 Accepting new patients
Eastern Shore Rural Health System Incorporated CurrentSince Jul 15, 1999 Accepting new patients
Eastern Shore Rural Health System Incorporated Current Accepting new patients
Eastern Shore Rural Health System Incorporated Current Accepting new patients
Eastern Shore Rural Health System Incorporated Current Accepting new patients
Eastern Shore Rural Health System Incorporated. Past Accepting new patients

Locations

4049 Main St
Chincoteague Island, VA 23336
Phone (757) 336-3682

5219 Lankford Hwy
New Church, VA 23415
Phone (757) 824-5676

20280 Market St
Onancock, VA 23417
Phone (757) 787-7374

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIBEAA
  • Direct secure messaging: thomas.hollandsworth@esrhs.eclinicaldirectplus.com

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1386622611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20280 MARKET ST",
            "city": "ONANCOCK",
            "state": "VA",
            "postal_code": "234171331",
            "telephone_number": "757-787-7374",
            "fax_number": "757-787-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20306 BADGER LANE",
            "city": "ONLEY",
            "state": "VA",
            "postal_code": "23418",
            "telephone_number": "757-787-7374",
            "fax_number": "757-787-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLANDSWORTH",
        "first_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101059233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onley, VA

Sources for this page

Verify at the official NPI Registry.