Organization Active NPI

Stephen R. Holuk MD Inc

  • General Practice Physician
  • Three Rivers, MA
National Provider Identifier
1508105842
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
48798 Issued in MA
Legal business name
STEPHEN R. HOLUK MD INC
Practice address
2175 Main St.
Three Rivers, MA 01080
Phone
(413) 283-7171
Fax
(413) 283-7171
NPI assigned
Feb 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Authorized official

Name
Stephen R Holuk, M.D.
Title
President
Phone
(413) 283-7171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 48798 MA Primary

Addresses

Primary practice location

2175 Main St.
Three Rivers, MA 01080

Mailing address

2175 Main St.
Three Rivers, MA 01080
Phone (413) 283-7171

National Provider Directory

National Provider Directory

Locations

2175 Main St
Three Rivers, MA 01080
Phone (413) 283-7171

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1508105842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 MAIN ST.",
            "city": "THREE RIVERS",
            "state": "MA",
            "postal_code": "01080",
            "telephone_number": "413-283-7171",
            "fax_number": "413-283-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 MAIN ST.",
            "city": "THREE RIVERS",
            "state": "MA",
            "postal_code": "01080",
            "telephone_number": "413-283-7171",
            "fax_number": "413-283-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN R. HOLUK MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-06",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "HOLUK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-283-7171",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MA",
            "license": "48798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Three Rivers, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.