Active NPI
John Patrick Holden, M.D.
- Obstetrics & Gynecology Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036086824
- Practice address
- 1221 E State St
Suite 9
Rockford, IL 61104-2231 - Phone
- (815) 972-1000
- Fax
- (815) 972-1086
- NPI assigned
- Jan 16, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036-086824 | IL | |
| Obstetrics & Gynecology Physician | 207V00000X | 036086824 | IL | Primary |
Addresses
Primary practice location
1221 E State St
Suite 9
Rockford, IL 61104-2231
Mailing address
1221 E State St
Suite 9
Rockford, IL 61104-2231
Phone (815) 972-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036086824 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.51 of 100
- Quality
- 83.2
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 71.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-086824 | IL | MD | Specialist |
| 036086824 | IL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedishamerican Hospital | Current | Accepting new patients | |
| Obhg Illinois SC | Obstetrics & Gynecology | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Swedishamerican Hospital | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Swedishamerican Hospital | Current | Accepting new patients |
Locations
405 W Jackson St
Carbondale, IL 62901
1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923
1221 E State St
Ste 9
Rockford, IL 61104
Phone (815) 972-1000
1221 E State St
Rockford, IL 61104
Phone (815) 972-1000
6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610
2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310
2780 McFarland Rd
Rockford, IL 61107
Phone (815) 637-0000
1511 N Blackhawk Blvd
Rockton, IL 61072
Phone (815) 395-5879
777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736
Interoperability endpoints
- jholden907971@direct.uwhealth.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Obstetrics & Gynecology Physician
- Berwyn, IL
- NPI 1700107216
-
- Family Medicine Physician
- Rockford, IL
- NPI 1962451732
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Student Health Clinic/Center
- South Beloit, IL
- NPI 1568894715
-
- Community/Retail Pharmacy
- Rockford, IL
- NPI 1306635982
-
- Surgery Physician
- Rockford, IL
- NPI 1689729535
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386547200000",
"number": "1992856892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 E STATE ST",
"address_2": "SUITE 9",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611042231",
"telephone_number": "815-972-1000",
"fax_number": "815-972-1086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 E STATE ST",
"address_2": "SUITE 9",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611042231",
"telephone_number": "815-972-1000",
"fax_number": "815-972-1086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDEN",
"first_name": "JOHN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2013-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036-086824",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036086824",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036086824",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.