Individual provider Active NPI

Werner Hollstein, MD

  • Family Medicine Physician
  • Saint Johns, MI
National Provider Identifier
1649248998
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301037559 Issued in MI
Practice address
901 S Oakland St Ste 201
Saint Johns, MI 48879-2200
Phone
(989) 224-2338
Fax
(989) 224-2065
NPI assigned
Mar 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301037559 MI
Family Medicine Physician 207Q00000X 4301037559 MI Primary

Addresses

Primary practice location

901 S Oakland St Ste 201
Saint Johns, MI 48879-2200

Mailing address

901 S Oakland St Ste 201
Saint Johns, MI 48879-2200
Phone (989) 224-2338

Other identifiers 3

IdentifierTypeStateIssuer
1280689MedicaidMI
C20578OtherMIRAILROAD MEDICARE
3346108MedicaidMI

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

OrganizationSpecialtyStatusNew patients
Shelby Emergency Services, LLC Emergency Medicine Past Accepting new patients
Bronson Vicksburg Hospital, Inc. Emergency Medicine Past Accepting new patients
Epmg of Michigan, P.C. Emergency Medicine PastSince Aug 4, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1649248998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S OAKLAND ST STE 201",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792200",
            "telephone_number": "989-224-2338",
            "fax_number": "989-224-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S OAKLAND ST STE 201",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792200",
            "telephone_number": "989-224-2338",
            "fax_number": "989-224-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLSTEIN",
        "first_name": "WERNER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-11",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301037559",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301037559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1280689",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C20578",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3346108",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.

Verify at the official NPI Registry.