Individual provider Active NPI

Laura Jane Holsey, D.O.

  • Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1700123916
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5397 Issued in OK
Practice address
3543 West Memorial Road
Holsey Cosmetic Surgery & Spa
Oklahoma City, OK 73134
Phone
(405) 256-2526
Fax
(888) 241-5833
NPI assigned
Jan 8, 2013
Last updated
Mar 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 02004104B IN
Surgery Physician 208600000X 5397 OK Primary

Addresses

Primary practice location

3543 West Memorial Road
Holsey Cosmetic Surgery & Spa
Oklahoma City, OK 73134

Mailing address

10809 NW 36TH Terrace
Yukon, OK 73099
Phone (405) 256-2526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20150202001875 OK Practitioner - General Surgery 2567787195 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02004104BINMDSurgery Physician
5397OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Wound Physicians of FL, LLC CurrentSince Mar 27, 2017 Accepting new patients
Vohra Wound Physicians of FL, LLC CurrentSince Mar 27, 2017 Accepting new patients

Locations

10912 E 14th St
Tulsa, OK 74128
Phone (918) 438-2440

Interoperability endpoints

  • Direct secure messaging: lholse01@yourcarecommunity.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1700123916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10809 NW 36TH TERRACE",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "73099",
            "telephone_number": "405-256-2526",
            "fax_number": "888-241-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3543 WEST MEMORIAL ROAD",
            "address_2": "HOLSEY COSMETIC SURGERY & SPA",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73134",
            "telephone_number": "405-256-2526",
            "fax_number": "888-241-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSEY",
        "first_name": "LAURA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-08",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "02004104B",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "5397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.