Active NPI
John R Holland, D.O.
- Emergency Medicine Physician
- Lincoln City, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DO172963
- Practice address
- 3043 NE 28TH Street
Lincoln City, OR 97367-9540 - Phone
- (541) 996-7118
- Fax
- (541) 996-7378
- NPI assigned
- Sep 1, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 1948 | TN | |
| Emergency Medicine Physician | 207P00000X | 200400681 | NC | |
| Emergency Medicine Physician | 207P00000X | DO172963 | OR | Primary |
Addresses
Primary practice location
3043 NE 28TH Street
Lincoln City, OR 97367-9540
Mailing address
3043 NE 28TH Street
Lincoln City, OR 97367-9540
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891362Y | Medicaid | NC | |
| 1679675854 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, TN, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 15TH St NW
Norton, VA 24273-1616
Phone (276) 439-1000
1901 S Shady St
Mountain City, TN 37683-2021
Phone (423) 727-1100
2301 US Hwy 74 W
Wadesboro, NC 28170-7554
Phone (704) 694-5131
Hospital & facility affiliations
- Johnson County Community Hospital
- Lonesome Pine Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1948 | TN | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-Cities Regional Emergency Physicians, PC | Emergency Medicine | Current | Accepting new patients |
| The Carolinas Emergency Group, PLLC | Emergency Medicine | Current | Accepting new patients |
| Jefferson Emergency Services, PLLC | Emergency Medicine | Current | Accepting new patients |
| Yadkin Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Johnson City Emergency Physicians, PC | Emergency Medicine | Past | Accepting new patients |
| North Carolina Emergency Physicians, PLLC | Emergency Medicine | Past | Accepting new patients |
| Hospital Health Care Inc. | Past | Accepting new patients | |
| Lumberton Emergency Medical Associates PC | Emergency Medicine | Past | Accepting new patients |
Locations
200 Corporate Blvd
Lafayette, LA 70508
180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000
200 Hospital Ave
Jefferson, NC 28640
Phone (336) 246-7101
600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100
2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393
2301 US Highway 74 W
Wadesboro, NC 28170
Phone (704) 694-5131
1501 W Elk Ave
Elizabethton, TN 37643
Phone (423) 542-1300
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
1901 S Shady St
Mountain City, TN 37683
Phone (423) 727-1100
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Dunn, NC
- NPI 1477508836
-
- Emergency Medicine Physician
- Johnson City, TN
- NPI 1063950046
-
- Emergency Medicine Physician
- Norton, VA
- NPI 1386183028
-
- Emergency Medicine Physician
- Jefferson, NC
- NPI 1720495336
-
- Emergency Medicine Physician
- Elkin, NC
- NPI 1417443771
-
- Internal Medicine Physician
- Pontiac, MI
- NPI 1609970359
-
- Emergency Medicine Physician
- Johnson City, TN
- NPI 1376557348
-
- Emergency Medicine Physician
- Lumberton, NC
- NPI 1326337163
-
- Emergency Medicine Physician
- Laurinburg, NC
- NPI 1003861386
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Mountain City, TN
- NPI 1497859789
-
- General Acute Care Hospital
- Big Stone Gap, VA
- NPI 1801826912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1679675854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3043 NE 28TH STREET",
"city": "LINCOLN CITY",
"state": "OR",
"postal_code": "973679540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3043 NE 28TH STREET",
"city": "LINCOLN CITY",
"state": "OR",
"postal_code": "973679540",
"telephone_number": "541-996-7118",
"fax_number": "541-996-7378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "JOHN",
"middle_name": "R",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2023-02-14",
"certification_date": "2023-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "1948",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "200400681",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OR",
"license": "DO172963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891362Y",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679675854",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lincoln City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.