Mickel A Holman, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA200114 Issued in LA

Practice address

207 Davenport
Mer Rouge, LA 71261

Phone

(318) 647-3412

NPI assigned

Nov 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sterlington Critical Access Hospital LLCGroup PAC ID 4486652385, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Morehouse General Hospital Hospital, Bastrop, LA, CCN 190116

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Sterlington Critical Access Hospital L.L.C

  • Medical Physician Assistant
  • Bastrop, LA
  • NPI 1679935928

  LA

  Medicare reassignment Care Compare group
• Sterlington Critical Access Hospital, L.L.C.

  • Rehabilitation Hospital
  • Bastrop, LA
  • NPI 1942257423
  Care Compare group NPD
• St. Francis Urgent Care LLC

  • Urgent Care Clinic/Center
  • Monroe, LA
  • NPI 1194104513

  LA

  Medicare reassignment
• Sterlington Critical Access Hospital, L.L.C.

  • Rural Health Clinic/Center
  • Mer Rouge, LA
  • NPI 1811171085
  Care Compare group NPD (past)
• Sterlington Critical Access Hospital L.L.C

  • Clinic/Center
  • Bastrop, LA
  • NPI 1619428588
  Care Compare group
• Sterlington Critical Access Hospital, L.L.C.

  • Rural Health Clinic/Center
  • Bastrop, LA
  • NPI 1669658571
  Care Compare group
• Sterlington Critical Access Hospital, LLC

  • Rural Health Clinic/Center
  • Sterlington, LA
  • NPI 1134243736
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Morehouse General Hospital

  • General Acute Care Hospital
  • Bastrop, LA
  • NPI 1003898313

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1508932450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4522",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712114522",
            "telephone_number": "318-518-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 DAVENPORT",
            "city": "MER ROUGE",
            "state": "LA",
            "postal_code": "71261",
            "telephone_number": "318-647-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "MICKEL",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA200114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PA.200114",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wanda Chandler
• Kathy E Denman, PHARMACY-TECH
• Anthony Devoil
• Family Medical Clinic of Mer Rouge
• Tiffany K Hatfield, LPC
• Jason Ryan Hoskins, FNP
• Mer Rouge Community Service Inc
• Mer Rouge Community SVC Inc
• Mer Rouge Family Pharmacy, LLC
• Mer Rouge Family Pharmacy, LLC

• All providers in Mer Rouge, LA
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.