Individual provider Active NPI

Mary Ann Hollman, MD, MS, CIME

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Kahului, HI
National Provider Identifier
1497866800
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
MD-18668 Issued in HI
Practice address
111 Hana Hwy Ste 107
Kahului, HI 96732-2300
Phone
(808) 205-0603
Fax
(808) 419-6493
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X R9N85 MO
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X MD-18668 HI Primary

Addresses

Primary practice location

111 Hana Hwy Ste 107
Kahului, HI 96732-2300

Mailing address

148 Molehulehu Loop
Kahului, HI 96732-4511
Phone (808) 205-0603

Other practice location 1

2638 Highway 109
Suite 101
Wildwood, MO 63040-1161
Phone (636) 730-3177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161005000264 HI Practitioner - Other (Physician) 6103114285 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R9N85MOMDPreventive Medicine/Occupational Environmental Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RP Medical LLC CurrentSince Feb 27, 2017 Accepting new patients

Locations

270 Dairy Rd
Ste 239
Kahului, HI 96732

Organizations & group practices 1

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": "1640908800000",
    "number": "1497866800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 MOLEHULEHU LOOP",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967324511",
            "telephone_number": "808-205-0603",
            "fax_number": "808-419-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HANA HWY STE 107",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322300",
            "telephone_number": "808-205-0603",
            "fax_number": "808-419-6493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2638 Highway 109",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Wildwood",
            "state": "MO",
            "postal_code": "630401161",
            "country_code": "US",
            "telephone_number": "636-730-3177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLMAN",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD, MS, CIME",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MO",
            "license": "R9N85",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "HI",
            "license": "MD-18668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

Verify at the official NPI Registry.