Peter N. Hollis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

357 Issued in CO

Practice address

3150 North 12TH Street
Grand Junction, CO 81506-5517

Phone

(970) 243-5437

Fax

(970) 243-7792

NPI assigned

Dec 2, 2005

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1851375901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10700",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815025517",
            "telephone_number": "970-243-5437",
            "fax_number": "970-243-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 NORTH 12TH STREET",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815065517",
            "telephone_number": "970-243-5437",
            "fax_number": "970-243-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "PETER",
        "middle_name": "N.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07003577",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry Wayne Holcomb, MD
• Hunter Holcomb
• Emily Holden, BCBA
• Paul I Holland, CSTFA
• Chloe Abigail Holleman
• Holmes Cargiving
• Lauren Ansley Holmes
• Mary A Holmes
• Lauren Elizabeth Holowchuk, PA-C
• Genna Holt

• Physician Assistant in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.