NPIMap

Individual provider Active NPI

Thomas H Hollis Jr., MD

  • Family Medicine Physician
  • Hot Springs, AR
National Provider Identifier
1831190339
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E 1842 Issued in AR
Practice address
1 Mercy LN
Suite 201
Hot Springs, AR 71913-6442
Phone
(501) 609-2222
Fax
(501) 321-9689
NPI assigned
Aug 9, 2005
Last updated
Mar 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E 1842 AR Primary
Hospitalist Physician 208M00000X E-1842 AR

Addresses

Primary practice location

1 Mercy LN
Suite 201
Hot Springs, AR 71913-6442

Mailing address

PO Box 21850
Hot Springs, AR 71903-1850
Phone (501) 627-1800

Other identifiers 1

IdentifierTypeStateIssuer
136240001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040616001119 AR Practitioner - Family PracticePractitioner - Emergency Medicine 4183608151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Mercy LN
Suite 404
Hot Springs, AR 71913-6441
Phone (501) 609-2222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E 1842ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CHI St Vincent Hospital Hot Springs CurrentSince Nov 16, 2010 Accepting new patients
CHI St Vincent Hospital Hot Springs CurrentSince Nov 16, 2010 Accepting new patients
CHI St. Vincent Medical Group Hot Springs Family Medicine CurrentSince Mar 1, 2008 Accepting new patients

Locations

1 Mercy Ln
Ste 301
Hot Springs, AR 71913
Phone (501) 622-6556

1 Mercy Ln
Ste 201
Hot Springs National Park, AR 71913
Phone (501) 321-2229

1 Mercy Ln
Ste 404
Hot Springs National Park, AR 71913
Phone (501) 321-1026

1 Mercy Ln
Ste 405
Hot Springs National Park, AR 71913
Phone (501) 622-1939

100 McGowan Ct
Hot Springs National Park, AR 71913
Phone (501) 525-9675

300 Werner St
Hot Springs National Park, AR 71913
Phone (501) 622-1000

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
CHI St Vincent Medical Group Hot SpringsGlenwood, AR, CCN 043868 Rural health clinic Corporate Director (9%) Oct 1, 2013
CHI St Vincent Medical Group Hot SpringsMurfreesboro, AR, CCN 043869 Rural health clinic Corporate Director (9%) Oct 1, 2013
CHI St Vincent Medical Group Hot SpringsMt Ida, AR, CCN 043870 Rural health clinic Corporate Director (9%) Oct 1, 2013

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1831190339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21850",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719031850",
            "telephone_number": "501-627-1800",
            "fax_number": "501-627-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MERCY LN",
            "address_2": "SUITE 201",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136442",
            "telephone_number": "501-609-2222",
            "fax_number": "501-321-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "THOMAS",
        "middle_name": "H",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E 1842",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AR",
            "license": "E-1842",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136240001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

Verify at the official NPI Registry.