Organization Active NPI

Holzer Clinic, LLC

  • Multi-Specialty Clinic/Center
  • Gallipolis, OH
National Provider Identifier
1508817248
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HOLZER CLINIC, LLC
Practice address
100 Jackson Pike
Gallipolis, OH 45631-1560
Phone
(740) 446-5385
Fax
(740) 446-5310
NPI assigned
May 15, 2006
Last updated
Jan 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Stout B Rodney, MD
Title
Ceo
Phone
(740) 446-5000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Vision Therapy Optometrist 152WV0400X NU
Medical Laboratory Technician 246RM2200X NU

Addresses

Primary practice location

100 Jackson Pike
Gallipolis, OH 45631-1560

Mailing address

90 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 446-5385

Other identifiers 2

IdentifierTypeStateIssuer
0006817002MedicaidWV
4046428MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031215000746 OH Part B Supplier - Clinic/Group Practice 5890606008 Receives reassigned benefits from 324 practitioners
Practice locations: Gallipolis, OH; Jackson, OH; Oak Hill, OH; Patriot, OH; Pomeroy, OH; Proctorville, OH; Rio Grande, OH; Thurman, OH…
O20040517000510 WV Part B Supplier - Clinic/Group Practice 5890606008 Receives reassigned benefits from 41 practitioners
Practice locations: Point Pleasant, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2110691Holzer Outpatient Clinic100 Jackson Pike, Gallipolis, OH 45631Certificate of waiverMar 21, 2028

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations (25 of 29)

2364 Blizzard Ln
#C
Albany, OH 45710
Phone (740) 698-1900

6015 Ayers Rd
#100
Albany, OH 45710
Phone (740) 698-1900

2111 E State St
Ste 250
Athens, OH 45701
Phone (740) 589-3100

5 N Court St
Ste 1
Athens, OH 45701
Phone (740) 589-7752

8779 State Route 160
Bidwell, OH 45614
Phone (740) 446-8399

8785 State Route 160
Bidwell, OH 45614
Phone (740) 446-2926

55 Rebel Dr
Crown City, OH 45623
Phone (740) 256-1054

75 Rebel Dr
Crown City, OH 45623
Phone (740) 446-6520

9345 State Route 218
Crown City, OH 45623
Phone (740) 256-6468

100 Jackson Pike
#C30674
Gallipolis, OH 45631
Phone (740) 446-5050

113 Centenary Church Rd
Gallipolis, OH 45631
Phone (740) 446-3236

1333 Brick School Rd
Gallipolis, OH 45631
Phone (740) 367-7283

170 Jackson Pike
Gallipolis, OH 45631
Phone (740) 446-5129

204 2nd Ave
Gallipolis, OH 45631
Phone (740) 441-0781

2855 Centenary Rd
Gallipolis, OH 45631
Phone (740) 446-3212

2923 Centenary Rd
Gallipolis, OH 45631
Phone (740) 446-6510

300 Briarwood Rd
Gallipolis, OH 45631
Phone (740) 441-9633

450 4th Ave
Gallipolis, OH 45631
Phone (740) 446-3213

68 Sycamore St
Gallipolis, OH 45631
Phone (740) 446-3560

90 Jackson Pike
Ofc
Gallipolis, OH 45631

500 Burlington Rd
Jackson, OH 45640
Phone (740) 288-4625

512 N FRNT St
Oak Hill, OH 45656
Phone (740) 682-3888

4834 State Route 325
Patriot, OH 45658
Phone (740) 379-2532

88 E Memorial Dr
Pomeroy, OH 45769
Phone (740) 992-0060

351 Buckeye Hills Rd
Thurman, OH 45685
Phone (740) 245-5334

Practitioners & affiliated clinicians

Practitioners 398

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 398

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1508817248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 JACKSON PIKE",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311560",
            "telephone_number": "740-446-5385",
            "fax_number": "740-446-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 JACKSON PIKE",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456311560",
            "telephone_number": "740-446-5385",
            "fax_number": "740-446-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLZER CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "RODNEY",
        "authorized_official_first_name": "STOUT",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-446-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006817002",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4046428",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallipolis, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.