Holderman O2

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

81161042 Issued in PA

Legal business name

HOLDERMAN O2

Practice address

119 Honeysuckle Dr
Boalsburg, PA 16827-1524

Phone

(814) 466-2234

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James A. Holderman

Title

Owner

Phone

(814) 466-2234

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1396863098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 HONEYSUCKLE DR",
            "city": "BOALSBURG",
            "state": "PA",
            "postal_code": "168271524",
            "telephone_number": "814-466-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 HONEYSUCKLE DR",
            "city": "BOALSBURG",
            "state": "PA",
            "postal_code": "168271524",
            "telephone_number": "814-466-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLDERMAN O2",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "HOLDERMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-466-2234",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "81161042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "HO243990",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01742003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne R. Fried, M.D.
• Harvey P Hanlen, OD
• Melanie A Harding, M.ED
• Matthew Dean Hertert, D.C.
• Hannah Sultan Hills, MA, CCC-SLP
• Donna Ann Kellogg, LPN, LAT, ATC
• Made to Move Physical Therapy
• Maeve Leonia McFeely
• Olive Tree Counseling
• Nicole Pautz

• Durable Medical Equipment & Medical Supplies in Boalsburg, PA
• Providers in Boalsburg, PA by specialty
• Durable Medical Equipment & Medical Supplies in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.