Active NPI
Jonathan P. Buchholz, MD
- Obstetrics & Gynecology Physician
- Fairmont, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 62870
- Practice address
- 800 Medical Center Dr
Fairmont, MN 56031-4575 - Phone
- (507) 238-8100
- NPI assigned
- Apr 10, 2013
- Last updated
- Jan 31, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | U2800 | TX | |
| Obstetrics & Gynecology Physician | 207V00000X | 62870 | MN | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | . | MN |
Addresses
Primary practice location
800 Medical Center Dr
Fairmont, MN 56031-4575
Mailing address
800 Medical Center Dr
Fairmont, MN 56031-4575
Phone (507) 238-8100
Other practice location 1
1501 Kings Hwy
Dept. of OB/GYN
Shreveport, LA 71103-4228
Phone (318) 675-8700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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
- Obstetrics/Gynecology
- Education
- Sanford School of Medicine of University of South Dakota, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 E Hwy 287
Midlothian, TX 76065-4107
Phone (682) 622-7444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| . | MN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arlington Physician Services PA | Obstetrics & Gynecology | Current | Accepting new patients |
| Medhealth | Current | Accepting new patients | |
| Medhealth | Current | Accepting new patients | |
| Methodist Hospitals of Dallas | Past | Accepting new patients |
Locations
3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950
2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000
1201 E Highway 287
Midlothian, TX 76065
Phone (469) 695-2065
Interoperability endpoints
- jbuchholz87594@ehrdirect.mayoclinicmsg.org
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Mansfield, TX
- NPI 1093144610
-
dba Methodist Mansfield Medical Center
- General Acute Care Hospital
- Mansfield, TX
- NPI 1689629941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1922441724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 MEDICAL CENTER DR",
"city": "FAIRMONT",
"state": "MN",
"postal_code": "560314575",
"telephone_number": "507-238-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 MEDICAL CENTER DR",
"city": "FAIRMONT",
"state": "MN",
"postal_code": "560314575",
"telephone_number": "507-238-8100"
}
],
"practiceLocations": [
{
"address_1": "1501 Kings Hwy",
"address_2": "Dept. of OB/GYN",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711034228",
"country_code": "US",
"telephone_number": "318-675-8700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCHHOLZ",
"first_name": "JONATHAN",
"middle_name": "P.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-10",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "U2800",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MN",
"license": "62870",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MN",
"license": ".",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairmont, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.