Individual provider Active NPI

Holly Handloser, M.D.

  • Family Medicine Physician
  • Searcy, AR
National Provider Identifier
1497866149
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E1632 Issued in AR
Practice address
610 Shepherd Dr
Searcy, AR 72143-6873
Phone
(501) 268-6831
Fax
(501) 279-2402
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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 E1632 AR Primary

Addresses

Primary practice location

610 Shepherd Dr
Searcy, AR 72143-6873

Mailing address

610 Shepherd Dr
Searcy, AR 72143-6873
Phone (501) 268-6831

Other identifiers 1

IdentifierTypeStateIssuer
137327001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20080108000133 AR Practitioner - Family Practice 0042390718 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Hospital Association, Inc Current Accepting new patients
Baptist Medcare, Inc CurrentSince Feb 24, 2011 Accepting new patients
Jefferson Hospital Association, Inc Family Medicine CurrentSince Jan 12, 2021 Accepting new patients
Jefferson Hospital Association, Inc CurrentSince Jan 12, 2021 Accepting new patients
Jefferson Hospital Assn, Inc. CurrentSince Jan 12, 2021 Accepting new patients
Arkansas Health Group Family Medicine Past Accepting new patients

Locations

3050 Twin Rivers Dr
Arkadelphia, AR 71923
Phone (501) 202-2300

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

4201 S Mulberry St
Ste A
Pine Bluff, AR 71603
Phone (870) 536-6600

4747 Dusty Lake Dr
Ste G1
Pine Bluff, AR 71603
Phone (870) 534-1188

4747 Dusty Lake Dr
Ste 101
Pine Bluff, AR 71603
Phone (870) 536-6600

1609 W 40th Ave
Ste 403
Pine Bluff, AR 71603
Phone (870) 534-4188

1801 W 40th Ave
Ste 6A
Pine Bluff, AR 71603
Phone (870) 541-7393

1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1497866149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 SHEPHERD DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436873",
            "telephone_number": "501-268-6831",
            "fax_number": "501-279-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 SHEPHERD DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436873",
            "telephone_number": "501-268-6831",
            "fax_number": "501-279-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDLOSER",
        "first_name": "HOLLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E1632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137327001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.