Active NPI
Jeffrey Hollady, MD
- Emergency Medical Services (Emergency Medicine) Physician
- Tawas City, MI
National Provider Identifier
1982681359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 4301059416
- Practice address
- 200 Hemlock St
Tawas City, MI 48763 - Phone
- (989) 362-0153
- Fax
- (989) 362-4683
- NPI assigned
- Dec 28, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 4301059416 | MI | Primary |
Addresses
Primary practice location
200 Hemlock St
Tawas City, MI 48763
Mailing address
PO Box 779
Tawas City, MI 48764
Phone (989) 362-0153
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4592732 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301059416 | MI | MD | Emergency Medical Services (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1982681359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 779",
"city": "TAWAS CITY",
"state": "MI",
"postal_code": "48764",
"telephone_number": "989-362-0153",
"fax_number": "989-362-4683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HEMLOCK ST",
"city": "TAWAS CITY",
"state": "MI",
"postal_code": "48763",
"telephone_number": "989-362-0153",
"fax_number": "989-362-4683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLADY",
"first_name": "JEFFREY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MI",
"license": "4301059416",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4592732",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tawas City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.