NPIMap

Individual provider Active NPI

John W Holden, M.D.

  • Internal Medicine Physician
  • Ponca City, OK
National Provider Identifier
1427034792
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21238 Issued in OK
Practice address
427 Fairview Ave
Ponca City, OK 74601-1923
Phone
(580) 765-9299
Fax
(580) 765-2199
NPI assigned
Dec 19, 2005
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21238 OK Primary

Addresses

Primary practice location

427 Fairview Ave
Ponca City, OK 74601-1923

Mailing address

427 Fairview Ave
Ponca City, OK 74601-1923
Phone (580) 765-9299

Other identifiers 1

IdentifierTypeStateIssuer
100825020FMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20050315000212 OK Practitioner - Internal MedicinePractitioner - Pediatric Medicine 9133171572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Oklahoma College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1900 N
14TH
Ponca City, OK 74601-2035
Phone (580) 765-3321

427 Fairview Ave
Ponca City, OK 74601-1923
Phone (580) 765-9299

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.63 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
85.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John W. Holden, M.D., P.C. Internal Medicine CurrentSince Jun 22, 2011 Accepting new patients
N& R of Ponca City LLC Past Accepting new patients
Seminole Health Center LLC Past Accepting new patients
Stillwater Medical Center Authority Past Accepting new patients
Kay County Clinic Company LLC Past Accepting new patients
Summit Medical Center Past Accepting new patients
Watonga Hospital Trust Authority Past Accepting new patients
Integris Health Ponca City Hospital Inc Past Accepting new patients
Watonga Hospital Trust Authority Past Accepting new patients
Paul Guy Hagood Past Accepting new patients
Kansas Medical Center, LLC PastSince Dec 25, 2024 Accepting new patients

Locations

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

427 Fairview Ave
Ponca City, OK 74601
Phone (580) 765-9299

Organizations & group practices 11

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 10

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1427034792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 FAIRVIEW AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011923",
            "telephone_number": "580-765-9299",
            "fax_number": "580-765-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 FAIRVIEW AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746011923",
            "telephone_number": "580-765-9299",
            "fax_number": "580-765-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDEN",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "21238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100825020F",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

Verify at the official NPI Registry.