Individual provider Active NPI

Mark E. Holland, M.D.

  • Internal Medicine Physician
  • Rutledge, TN
National Provider Identifier
1962541326
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26429 Issued in TN
Practice address
8048 Rutledge Pike
Rutledge, TN 37861
Phone
(865) 828-5243
Fax
(865) 828-8678
NPI assigned
Feb 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 26429 TN Primary

Addresses

Primary practice location

8048 Rutledge Pike
Rutledge, TN 37861

Mailing address

PO Box 372
Rutledge, TN 37861-0372
Phone (865) 828-5243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080129000692 TN Practitioner - Internal Medicine 5698675841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

215 Marshall Ave
Rutledge, TN 37861

8048 Rutledge Pike
Rutledge, TN 37861-3032
Phone (865) 828-5295

PO Box
Suite 372
Rutledge, TN 37861

PO Box
Suite 372
Rutledge, TN 37861-0372

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26429TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rutledge Medical Clinic Incorporated Internal Medicine CurrentSince Jul 1, 2001 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

165 Coffey Ln
Rutledge, TN 37861
Phone (423) 307-9022

8048 Rutledge Pike
Rutledge, TN 37861
Phone (865) 828-5243

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962541326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "RUTLEDGE",
            "state": "TN",
            "postal_code": "378610372",
            "telephone_number": "865-828-5243",
            "fax_number": "865-828-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8048 RUTLEDGE PIKE",
            "city": "RUTLEDGE",
            "state": "TN",
            "postal_code": "37861",
            "telephone_number": "865-828-5243",
            "fax_number": "865-828-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "MARK",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "26429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutledge, TN

Sources for this page

Verify at the official NPI Registry.