Richard Paul Hollstrom,Jr, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

POD000988 Issued in GA

Practice address

1555 Doctors Dr
Ste 106
Lagrange, GA 30240-4139

Phone

(706) 845-9370

Fax

(706) 845-9371

NPI assigned

May 16, 2006

Last updated

Nov 7, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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 GA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ankle and Foot Centers of Georgia, LLCGroup PAC ID 8022295294, 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellstar West Georgia Medical Center Hospital, Lagrange, GA, CCN 110016

Merit-based Incentive Payment System (MIPS)

Final score

91.6 of 100Reported as group

Quality

88.21

Promoting interoperability

100

Improvement activities

40

Cost

83.78

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ankle and Foot Centers of Georgia, LLC

  • Foot & Ankle Surgery Podiatrist
  • Peachtree City, GA
  • NPI 1992003479
  Medicare reassignment Care Compare group NPD
• Ankle and Foot Center of Georgia, LLC

  • Podiatrist
  • Carrollton, GA
  • NPI 1760538995
  Authorized official Same address or phone
• Ankle and Foot Center of Georgia,LLC

  • Podiatrist
  • Lagrange, GA
  • NPI 1750436127
  NPD (past) Authorized official
• Ankle and Foot Centers of Georgia, LLC

  • Foot & Ankle Surgery Podiatrist
  • Smyrna, GA
  • NPI 1134462591
  NPD
• Joseph D Giovinco DPM PC

  dba The Ankle and Foot Centers of GA

  • Foot & Ankle Surgery Podiatrist
  • Fayetteville, GA
  • NPI 1366484867
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• West Georgia Medical Center, Inc.

  dba WellStar West Georgia Medical Center

  • General Acute Care Hospital
  • Lagrange, GA
  • NPI 1821221144
  Care Compare affiliation

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1710939145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 DOCTORS DR",
            "address_2": "STE 106",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404139",
            "telephone_number": "706-845-9370",
            "fax_number": "706-845-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 DOCTORS DR",
            "address_2": "STE 106",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404139",
            "telephone_number": "706-845-9370",
            "fax_number": "706-845-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLSTROM,JR",
        "first_name": "RICHARD",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD000988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "723086380A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Martin Holden
• Holistic Chiropractic, LLC
• Sarah Elizabeth Holle
• Sean Holloway, AGACNP-BC / FNP-BC
• Claire Ashley Hollstrom, DPM
• Hometown Physician Group, LLC (Hometown Family Medicine)
• Kenneth T Horlander, M.D.
• Camille Horne
• Brian A Horton, NP
• Jody Theresa Houston, CCC-SLP

• Foot & Ankle Surgery Podiatrist in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Foot & Ankle Surgery Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.
• 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.