Organization Active NPI

Holly Family Medicine PLC

  • Family Medicine Physician
  • Grand Blanc, MI
National Provider Identifier
1922235746
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301072057 Issued in MI
Legal business name
HOLLY FAMILY MEDICINE PLC
Practice address
2595 Genesys Pkwy
Grand Blanc, MI 48439-8069
Phone
(810) 606-6230
Fax
(810) 606-7084
NPI assigned
Jun 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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

Authorized official

Name
Dr. Aliya Kohler, MD
Title
Owner
Phone
(810) 606-6230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4301072057 MI Primary

Addresses

Primary practice location

2595 Genesys Pkwy
Grand Blanc, MI 48439-8069

Mailing address

2595 Genesys Pkwy
Grand Blanc, MI 48439-8069
Phone (810) 606-6230

National Provider Directory

National Provider Directory

Locations

Dept CH 19264
Palatine, IL 60055

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1922235746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 GENESYS PKWY",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398069",
            "telephone_number": "810-606-6230",
            "fax_number": "810-606-7084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 GENESYS PKWY",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398069",
            "telephone_number": "810-606-6230",
            "fax_number": "810-606-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY FAMILY MEDICINE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "KOHLER",
        "authorized_official_first_name": "ALIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-606-6230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301072057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.