Active NPI
Woodrow Lyn Holder III, PA
- Physician Assistant
- Ann Arbor, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601007961
- Practice address
- 1500 E Medical Center Dr
Ann Arbor, MI 48109-5000 - Phone
- (734) 936-4000
- NPI assigned
- Aug 30, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MI | ||
| Physician Assistant | 363A00000X | 5601007961 | MI | Primary |
Addresses
Primary practice location
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299
Other practice location 1
1201 E Michigan Ave Ste 300
Jackson, MI 49201-1853
Phone (517) 205-1431
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 S Dr
Mt Pleasant, MI 48858-3257
Phone (989) 772-6700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Hospital Group | Current | Accepting new patients | |
| Regents of the University of Michigan | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Current | Accepting new patients | |
| Sparrow Clinton Hospital | Current | Accepting new patients | |
| W.a. Foote Memorial Hospital, Inc | Physician Assistant | Current | Accepting new patients |
| Ella E M Brown Charitable Circle | Current | Accepting new patients | |
| Hillsdale Community Health Center | Current | Accepting new patients | |
| Hillsdale Community Health Center | Current | Accepting new patients | |
| Regents of the University of Michigan | Physician Assistant | Current | Accepting new patients |
| Ella E M Brown Charitable Circle | Physician Assistant | Current | Accepting new patients |
| McLaren Greater Lansing | Physician Assistant | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229
1500 E Medical Center Dr
Ann Arbor, MI 48109
Phone (734) 936-4280
1801 Briarwood Cir
Ann Arbor, MI 48108
Phone (734) 539-5000
1100 S Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 269-9521
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
401 N Hooper St
Caro, MI 48723
Phone (517) 673-3141
5701 Bow Pointe Dr
Clarkston, MI 48346
Phone (248) 620-3376
2420 Owen Rd
Ste A
Fenton, MI 48430
Phone (810) 496-2460
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
6900 E Saginaw Hwy
Ste 100
Grand Ledge, MI 48837
Phone (517) 975-1100
61 W Carleton Rd
Hillsdale, MI 49242
Phone (517) 437-5020
168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451
813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000
1201 E Michigan Ave
Ste 300
Jackson, MI 49201
Phone (517) 205-1431
2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500
1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500
200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921
1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700
385 N Lapeer Rd
Oxford, MI 48371
Phone (248) 628-2597
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881
2110 S M 76
West Branch, MI 48661
Phone (989) 345-4884
Interoperability endpoints
- woodrow.holder.1@31854.direct.athenahealth.com
Organizations & group practices 15
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.
-
- Emergency Medicine Physician
- Flint, MI
- NPI 1942026174
-
dba Hillsdale Hospital
- General Acute Care Hospital
- Hillsdale, MI
- NPI 1730115940
-
- Physician Assistant
- Ann Arbor, MI
- NPI 1689609448
-
dba Oaklawn Hospital
- Psychiatry Physician
- Marshall, MI
- NPI 1366591794
-
dba University of Michigan Health-Sparrow Clinton Hospital Emergency Depar
- Emergency Medicine Physician
- Saint Johns, MI
- NPI 1396827952
-
- Urgent Care Clinic/Center
- Clarkston, MI
- NPI 1144747460
-
dba Allegiance Health
- Internal Medicine Physician
- Jackson, MI
- NPI 1760437826
-
dba Oaklawn Hospital
- Diagnostic Radiology Physician
- Marshall, MI
- NPI 1043660467
Physician Assistant
-
dba Oaklawn Hospital
- Psychiatry Physician
- Marshall, MI
- NPI 1457400806
-
- Rural Health Clinic/Center
- Hillsdale, MI
- NPI 1801618608
-
- Specialty Pharmacy
- Dexter, MI
- NPI 1952181919
-
dba Sparrow Clinton Hospital CRNA Services
- Certified Registered Nurse Anesthetist
- Saint Johns, MI
- NPI 1326138173
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Mt Pleasant, MI
- NPI 1619941317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675296000000",
"number": "1841746815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 S STATE ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481081633",
"telephone_number": "734-647-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E MEDICAL CENTER DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481095000",
"telephone_number": "734-936-4000"
}
],
"practiceLocations": [
{
"address_1": "1201 E Michigan Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "MI",
"postal_code": "492011853",
"country_code": "US",
"telephone_number": "517-205-1431",
"fax_number": "517-205-1432",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLDER",
"first_name": "WOODROW",
"middle_name": "LYN",
"name_suffix": "III",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-30",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601007961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.