Gary P Holloway, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101012531 Issued in MI

Practice address

46 W Shadbolt St
Lake Orion, MI 48362-3170

Phone

(248) 814-9300

Fax

(248) 814-9304

NPI assigned

Jul 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Family Practice

Education

Oklahoma State University College of Osteopathic Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

McLaren OaklandGroup PAC ID 0547173213, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Oakland Hospital, Pontiac, MI, CCN 230207
• McLaren Lapeer Region Hospital, Lapeer, MI, CCN 230193

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• McLaren Oakland

  • Family Medicine Physician
  • Pontiac, MI
  • NPI 1053463778
  Medicare reassignment Care Compare group NPD
• McLaren Oakland

  • Psychiatric Hospital Unit
  • Pontiac, MI
  • NPI 1245817881
  NPD
• Hospital Health Care Inc.

  dba Clarkston Primary Care

  • Internal Medicine Physician
  • Pontiac, MI
  • NPI 1609970359

  Family Medicine

  NPD (past)
• McLaren Medical Group

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1780652206

  Family Medicine

  NPD (past)
• Perfect Solutions Inc

  • Addiction (Substance Use Disorder) Counselor
  • Waterford, MI
  • NPI 1538229877
  NPD (past)

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

• McLaren Lapeer Region

  dba McLaren HealthCare Corporation

  • General Acute Care Hospital
  • Lapeer, MI
  • NPI 1205824737
  Care Compare affiliation
• McLaren Oakland

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1376564088
  Care Compare affiliation

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982625976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N PERRY ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422217",
            "telephone_number": "248-338-5516",
            "fax_number": "248-338-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 W SHADBOLT ST",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483623170",
            "telephone_number": "248-814-9300",
            "fax_number": "248-814-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "GARY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101012531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3402566-11",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Jewel Henige, MA
• Deborah Ann Henry, R.N., N.P.
• John Henry Hintzman
• Holistic Psychology Services LLC
• Tone I Holland, LPC, MA
• Bryan Holt, LLPC
• Home Foot Care, P.C.
• Alexa Hongisto
• Carletta Eedsel Horne, CNA
• Claire Horton

• Family Medicine Physician in Lake Orion, MI
• Providers in Lake Orion, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.