Mark W. Hollo, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

101273 Issued in NC

Practice address

107 S Center St
Hildebran, NC 28637-8304

Phone

(828) 397-3522

Fax

(828) 397-5271

NPI assigned

Jul 5, 2006

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

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Urgent Care of Mountain View PLLC

  • Urgent Care Clinic/Center
  • Hickory, NC
  • NPI 1760767446
  Medicare reassignment
• Catawba Urgent Care of Mountain View LLC

  • Urgent Care Clinic/Center
  • Hickory, NC
  • NPI 1265376917
  NPD (past)
• Family Care Center , P.a.

  • Rural Health Clinic/Center
  • Taylorsville, NC
  • NPI 1396770756
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1770514291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 829",
            "city": "HILDEBRAN",
            "state": "NC",
            "postal_code": "286370829",
            "telephone_number": "828-397-3522",
            "fax_number": "828-397-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S CENTER ST",
            "city": "HILDEBRAN",
            "state": "NC",
            "postal_code": "286378304",
            "telephone_number": "828-397-3522",
            "fax_number": "828-397-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLO",
        "first_name": "MARK",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Morgan Goodman, RPH
• Donna Hatcher
• Michael Herrell, PHARMD
• Hildebran Medical Clinic, LLC
• Hildebran Opco, LLC
• John M Fish DDS PA
• John Vincent Keller, PA
• Jennifer Stewart Kistler, PHARM.D.
• Laboratory Corporation of America Holdings
• Chalres Montie Lail, DMD

• Physician Assistant in Hildebran, NC
• Providers in Hildebran, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; 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.