Organization Active NPI

Sylvia K Hollowell

  • Health Maintenance Organization
  • Southfield, MI
National Provider Identifier
1851718720
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
4301068963 Issued in MI
Legal business name
SYLVIA K HOLLOWELL
Practice address
20905 Greenfield Road
Suite 507
Southfield, MI 48075
Phone
(248) 559-5640
Fax
(248) 559-7945
NPI assigned
Mar 27, 2014
Last updated
Mar 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Authorized official

Name
Lisa K Hollowell Wan
Title
Ma
Phone
(248) 559-5640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 4301068963 MI Primary

Addresses

Primary practice location

20905 Greenfield Road
Suite 507
Southfield, MI 48075

Mailing address

20905 Greenfield Road
Suite 507
Southfield, MI 48075
Phone (248) 559-5640

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1851718720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20905 GREENFIELD ROAD",
            "address_2": "SUITE 507",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-559-5640",
            "fax_number": "248-559-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20905 GREENFIELD ROAD",
            "address_2": "SUITE 507",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48075",
            "telephone_number": "248-559-5640",
            "fax_number": "248-559-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLVIA K HOLLOWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "WAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "K HOLLOWELL",
        "authorized_official_title_or_position": "MA",
        "authorized_official_telephone_number": "248-559-5640"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MI",
            "license": "4301068963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.