Michael S Oholleran MD Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G394880 Issued in CA

Legal business name

MICHAEL S OHOLLERAN MD INC

Practice address

1303 San Carlos Ave
San Carlos, CA 94070-2317

Phone

(650) 593-0965

Fax

(650) 593-2379

NPI assigned

Aug 30, 2010

Organization subpart

No

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

Authorized official

Name

Michael Oholleran, M.D.

Title

M.D.

Phone

(650) 593-0965

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1821304759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 SAN CARLOS AVE",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702317",
            "telephone_number": "650-593-0965",
            "fax_number": "650-593-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 SAN CARLOS AVE",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702317",
            "telephone_number": "650-593-0965",
            "fax_number": "650-593-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S OHOLLERAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "OHOLLERAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "650-593-0965",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G394880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G394880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Lynn Merryfield, M.D.
• Alisa Meyer, M.A.
• Katharine Moore Meyers
• Michelle Meza Hernandez
• Claudia Mezzera, MFT
• Jose L Milan II
• Jason Miles
• Laura Claire Miller, DDS
• Lori Mills
• Jade Grace Miltenberger

• Surgery Physician in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.