Johnathan Martin Hollyfield, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

17859 Issued in NV

Practice address

343 Elm St Ste 206
Reno, NV 89503

Phone

(775) 746-3400

Fax

(775) 746-3411

NPI assigned

May 31, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pathology

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western Pathology Consultants LTDGroup PAC ID 6406833094, 4 clinicians

Digestive Health AssociatesGroup PAC ID 0547247082, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tahoe Forest Hospital Hospital, Truckee, CA, CCN 051328
• Banner Lassen Medical Center Hospital, Susanville, CA, CCN 051320
• Incline Village Community Hospital Hospital, Incline Village, NV, CCN 291301

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Western Pathology Consultants, LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Reno, NV
  • NPI 1003366188

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Digestive Health Associates

  • Gastroenterology Physician
  • Reno, NV
  • NPI 1689775595
  Medicare reassignment Care Compare group
• Western Pathology Consultants, LTD

  • Clinical Pathology/Laboratory Medicine Physician
  • Reno, NV
  • NPI 1770587511

  Single Specialty

  NPD
• Prime Healthcare Services - Reno LLC

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1801152566
  NPD (past)
• Sparks Family Hospital Inc

  • General Acute Care Hospital
  • Sparks, NV
  • NPI 1548250582
  NPD (past)

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

• Tahoe Forest Hospital District

  • Critical Access Hospital
  • Incline Village, NV
  • NPI 1801957667
  Care Compare affiliation
• Banner Lassen Medical Center

  • Critical Access Hospital
  • Susanville, CA
  • NPI 1538197231
  Care Compare affiliation
• Tahoe Forest Hospital District

  • Critical Access Hospital
  • Truckee, CA
  • NPI 1538265780
  Care Compare affiliation

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

{
    "created_epoch": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1407293442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11025 RCA CENTER DR STE 300",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104269",
            "telephone_number": "561-383-3820",
            "fax_number": "855-369-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 ELM ST STE 206",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89503",
            "telephone_number": "775-746-3400",
            "fax_number": "775-746-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLYFIELD",
        "first_name": "JOHNATHAN",
        "middle_name": "MARTIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-31",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "192214",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NV",
            "license": "17859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Paul Hollinger, D.C.
• Nicholas Hollister
• Carrie Jane Holloway
• Holly T. Ashley, MD, PLLC
• Susan Lynn Holly, PHARM.D.
• John William Holm, MD
• Christine Holmes
• Darian Holmes, RN
• Jade Holmes, RN
• Jordan Holmes, MFT-I

• Anatomic Pathology & Clinical Pathology Physician in Reno, NV
• Providers in Reno, NV by specialty
• Anatomic Pathology & Clinical Pathology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.

Verify at the official NPI Registry.