NPIMap

Organization Active NPI

Dr Luis Felix Oxholm PC

  • Specialist
  • Traverse City, MI
National Provider Identifier
1487744496
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5101010993 Issued in MI
Legal business name
DR LUIS FELIX OXHOLM PC
Practice address
4020 Copper View Dr.
Suite 211
Traverse City, MI 49684-7098
Phone
(231) 935-0352
Fax
(231) 935-8110
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Luis Felix Oxholm, D.O.NPI 1407843725
Title
President
Phone
(231) 935-0352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 5101010993 MI Primary

Addresses

Primary practice location

4020 Copper View Dr.
Suite 211
Traverse City, MI 49684-7098

Mailing address

4020 Copper View Dr.
Suite 211
Traverse City, MI 49684-7098
Phone (231) 935-0352

Other identifiers 3

IdentifierTypeStateIssuer
DB8806OtherMIRAILROAD MCARE GRP.#
P00134275OtherMIRAILROAD MCARE IND. #
P81360OtherMIBLUE CARE NETWORK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487744496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 COPPER VIEW DR.",
            "address_2": "SUITE 211",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847098",
            "telephone_number": "231-935-0352",
            "fax_number": "231-935-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 COPPER VIEW DR.",
            "address_2": "SUITE 211",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847098",
            "telephone_number": "231-935-0352",
            "fax_number": "231-935-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LUIS FELIX OXHOLM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OXHOLM",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "FELIX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-935-0352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MI",
            "license": "5101010993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE GRP.#",
            "identifier": "DB8806",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE IND. #",
            "identifier": "P00134275",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P81360",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.