Mark E Hollingshead, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

M6436 Issued in ID

Practice address

360 E Mallard Dr
Ste 110
Boise, ID 83706-3945

Phone

(208) 336-8700

Fax

(208) 426-0902

NPI assigned

Jun 22, 2005

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 ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

88.27 of 100Reported as group

Quality

84.52

Promoting interoperability

98

Improvement activities

40

Cost

78.04

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: mhollings@hollingsheadeyecenter.emadirect.md

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.

• Hollingshead Eye Center, PC

  • Ophthalmology Physician
  • Boise, ID
  • NPI 1871643585
  Medicare reassignment

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1689670911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E MALLARD DR",
            "address_2": "STE 110",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063945",
            "telephone_number": "208-336-8700",
            "fax_number": "208-426-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E MALLARD DR",
            "address_2": "STE 110",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063945",
            "telephone_number": "208-336-8700",
            "fax_number": "208-426-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSHEAD",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ID",
            "license": "M6436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0030470",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holistic Healing Acupuncture PC
• Ian Craig Holland, MD
• Robyn Delore Holland
• Jennifer Lynne Holliday, MD
• Hollingshead Eye Center, PC
• James Elgin Hollingsworth, D.C.
• Anthony Hollis, PHARMD
• Lesley Hollister, LCPC
• Maren Elizabeth Hollister, M.S. CCC-SLP
• Jennifer Hollon, APRN-CNP

• Ophthalmology Physician in Boise, ID
• Providers in Boise, ID by specialty
• Ophthalmology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.