Active NPI
Ira Neil Hollander, MD
- Urology Physician
- Fort Worth, TX
National Provider Identifier
1508852021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- E8564
- Practice address
- 1701 River Run
Suite 902
Fort Worth, TX 76107-6579 - Phone
- (817) 332-8847
- Fax
- (817) 332-3614
- NPI assigned
- Sep 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | E8564 | TX | Primary |
Addresses
Primary practice location
1701 River Run
Suite 902
Fort Worth, TX 76107-6579
Mailing address
1701 River Run
Suite 902
Fort Worth, TX 76107-6579
Phone (817) 332-8847
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 129525507 | Medicaid | TX | |
| 129525508 | Medicaid | TX | |
| 129525509 | Other | TX | MEDICAID OTHER |
| 129525510 | Medicaid | TX | |
| 129525506 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Clinic of North Texas PLLC | Past | Accepting new patients | |
| Urology Associates of North Texas LLP | Urology | Past | Accepting new patients |
| Urology Clinics of North Texas, PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
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.
-
- Radiation Oncology Clinic/Center
- Arlington, TX
- NPI 1184131625
-
- Urology Physician
- Weatherford, TX
- NPI 1407849961
-
- Specialist
- Grapevine, TX
- NPI 1780971549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436745600000",
"number": "1508852021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 RIVER RUN",
"address_2": "SUITE 902",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761076579",
"telephone_number": "817-332-8847",
"fax_number": "817-332-3614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 RIVER RUN",
"address_2": "SUITE 902",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761076579",
"telephone_number": "817-332-8847",
"fax_number": "817-332-3614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLANDER",
"first_name": "IRA",
"middle_name": "NEIL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2015-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "E8564",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129525507",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129525508",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID OTHER",
"identifier": "129525509",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129525510",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "129525506",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.