Active NPI
Anthony John Holowko, DO
- Family Medicine Physician
- Dewitt, MI
National Provider Identifier
1861583718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101015375
- Practice address
- 13191 Schavey Rd
Suite 3
Dewitt, MI 48820-9036 - Phone
- (517) 669-9109
- Fax
- (517) 669-9839
- NPI assigned
- Sep 27, 2006
- Last updated
- Dec 31, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101015375 | MI | Primary |
Addresses
Primary practice location
13191 Schavey Rd
Suite 3
Dewitt, MI 48820-9036
Mailing address
PO Box 13008
Lansing, MI 48901-3008
Phone (517) 364-6253
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4758277 | Medicaid | MI | |
| 200000002126 | Other | MI | PHP PIN # |
| 0851913465 | Other | MI | BCBS INDIVIDUAL PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W. Sparrow Hospital Association | Current | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
Interoperability endpoints
- aholowko1647@sparrowdirecthie.org
Organizations & group practices 1
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.
-
dba Sparrow Regional Children's Center
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199059200000",
"number": "1861583718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13008",
"city": "LANSING",
"state": "MI",
"postal_code": "489013008",
"telephone_number": "517-364-6253",
"fax_number": "517-364-6204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13191 SCHAVEY RD",
"address_2": "SUITE 3",
"city": "DEWITT",
"state": "MI",
"postal_code": "488209036",
"telephone_number": "517-669-9109",
"fax_number": "517-669-9839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLOWKO",
"first_name": "ANTHONY",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101015375",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4758277",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP PIN #",
"identifier": "200000002126",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS INDIVIDUAL PIN",
"identifier": "0851913465",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dewitt, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.