Active NPI
Jack Don Holden, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Jarreau, LA
National Provider Identifier
1982964771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 009222
- Practice address
- 13967 Chenal Rd
Jarreau, LA 70749-3406 - Phone
- (225) 627-5860
- Fax
- (225) 627-4568
- NPI assigned
- May 25, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 009222 | LA | Primary |
Addresses
Primary practice location
13967 Chenal Rd
Jarreau, LA 70749-3406
Mailing address
13967 Chenal Rd
Jarreau, LA 70749-3406
Phone (225) 627-5860
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009222 | LA | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337904000000",
"number": "1982964771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13967 CHENAL RD",
"city": "JARREAU",
"state": "LA",
"postal_code": "707493406",
"telephone_number": "225-627-5860",
"fax_number": "225-627-4568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13967 CHENAL RD",
"city": "JARREAU",
"state": "LA",
"postal_code": "707493406",
"telephone_number": "225-627-5860",
"fax_number": "225-627-4568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDEN",
"first_name": "JACK",
"middle_name": "DON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-25",
"last_updated": "2012-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "LA",
"license": "009222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jarreau, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.