Active NPI
Lane Hollister, MD
- Family Medicine Physician
- Hammond, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 331002
- Practice address
- 15790 Paul Vega MD Dr
Hammond, LA 70403-1436 - Phone
- (985) 230-3066
- Fax
- (985) 230-6652
- NPI assigned
- Mar 27, 2020
- Last updated
- Jun 30, 2023
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | LA | ||
| Family Medicine Physician | 207Q00000X | 331002 | LA | Primary |
Addresses
Primary practice location
15790 Paul Vega MD Dr
Hammond, LA 70403-1436
Mailing address
2328 Vestal Ave
Los Angeles, CA 90026-2058
Other practice location 1
420 Avenue F
Bogalusa, LA 70427-3634
Phone (985) 732-0058
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Phone (985) 230-3066
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.91 of 100
- Quality
- 78.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 67.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 331002 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vermilion Emergency Group LLC | Current | Accepting new patients | |
| Correct Care, Inc. | Current | Accepting new patients | |
| North Oaks Medical Center, LLC | Current | Accepting new patients | |
| North Oaks Medical Center, LLC | Current | Accepting new patients | |
| North Oaks Medical Center, LLC | Past | Accepting new patients |
Locations
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
301 Memorial Dr
Donaldsonvlle, LA 70346
Phone (225) 473-7931
15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682
15813 Paul Vega Md Dr
Ste 403
Hammond, LA 70403
Phone (985) 230-7350
1310 W 7th St
Kaplan, LA 70548
Phone (318) 643-8300
Interoperability endpoints
- lhollister1763095@direct.ochsner.org
Organizations & group practices 5
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 North Oaks Hospital Medicine
- Hospitalist Physician
- Hammond, LA
- NPI 1962709501
-
- Emergency Medicine Physician
- Covington, LA
- NPI 1215987441
-
- Emergency Medicine Physician
- Kaplan, LA
- NPI 1215161096
-
dba North Oaks Med Ctr Professional Billing
- General Acute Care Hospital
- Hammond, LA
- NPI 1972630705
-
- Rural Acute Care Hospital
- Hammond, LA
- NPI 1144227539
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hammond, LA
- NPI 1144227539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1902434889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2328 VESTAL AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900262058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15790 PAUL VEGA MD DR",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704031436",
"telephone_number": "985-230-3066",
"fax_number": "985-230-6652"
}
],
"practiceLocations": [
{
"address_1": "420 Avenue F",
"address_purpose": "LOCATION",
"city": "Bogalusa",
"state": "LA",
"postal_code": "704273634",
"country_code": "US",
"telephone_number": "985-732-0058",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLISTER",
"first_name": "LANE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-27",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "331002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.