Martin A Hollingsworth, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

363216-1205 Issued in UT

Practice address

3556 W 9800 S
#101
South Jordan, UT 84095-3211

Phone

(801) 567-9750

Fax

(801) 567-9826

NPI assigned

Apr 26, 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in UT

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

Specialty

Internal MedicineAlso: Pediatric Medicine

Education

Medical College of Georgia School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Copperview Medical Center, LLCGroup PAC ID 4284538976, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atlas Home Care Home health agency, Layton, UT, CCN 467232
• Lone Peak Hospital Hospital, Draper, UT, CCN 460060
• Intermountain Medical Center Hospital, Murray, UT, CCN 460010
• Holy Cross Hospital-Jordan Valley Hospital, West Jordan, UT, CCN 460051

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Copperview Medical Center, LLC

  • Family Medicine Physician
  • South Jordan, UT
  • NPI 1316970924

  Internal Medicine

  Medicare reassignment Care Compare group NPD

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

• Catholic Health Initiatives Colorado

  dba Holy Cross Hospital - Jordan Valley

  • General Acute Care Hospital
  • West Jordan, UT
  • NPI 1801591391
  Care Compare affiliation
• Ihc Health Services, Inc.

  dba Intermountain Health Intermountain Medical Center

  • General Acute Care Hospital
  • Murray, UT
  • NPI 1043220650
  Care Compare affiliation
• Legacy Health Care Inc

  • Home Health Agency
  • Layton, UT
  • NPI 1952417214
  Care Compare affiliation
• Lone Peak Hospital, Inc.

  dba Lone Peak Hospital

  • General Acute Care Hospital
  • Draper, UT
  • NPI 1770821571
  Care Compare affiliation

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1821054842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3556 W 9800 S",
            "address_2": "#101",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953211",
            "telephone_number": "801-352-9500",
            "fax_number": "801-352-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3556 W 9800 S",
            "address_2": "#101",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840953211",
            "telephone_number": "801-567-9750",
            "fax_number": "801-567-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "MARTIN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "363216-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821054842",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00084326",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Hogan, CMHC
• Jaclyn Amaya Hoglund
• Owen Hokanson
• Julie Holbrook, AMFT
• Skyler Holbrook
• Homespire, LLC
• Honey Beehavior Analysis
• Jennifer Hong, ACMHC
• Michael Sperry Hope, OD
• Angela D Hopper

• Internal Medicine Physician in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Internal Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; 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.