Mary Caroline Holmboe, M.D.

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

19065 Issued in OK

Practice address

3509 French Park Dr
Ste D
Edmond, OK 73034-7296

Phone

(405) 715-4500

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Caroline Henderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1700806742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 FRENCH PARK DR",
            "address_2": "STE D",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347296",
            "telephone_number": "405-715-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 FRENCH PARK DR",
            "address_2": "STE D",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347296",
            "telephone_number": "405-715-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMBOE",
        "first_name": "MARY",
        "middle_name": "CAROLINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "OK",
            "license": "19065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HENDERSON",
            "middle_name": "CAROLINE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew James Holloman, DDS
• Penelope C Holloway, LCSW
• Alex Hollowell
• Corey Holman
• Lorien O Holman, LPC
• Edward C Holmes, DC
• Tawni Holmes
• Lawrence Scott Holmgren, DDS
• Daniel S Holt, DC
• Devin Holt

• Anatomic Pathology Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Anatomic Pathology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.