JEREMIAH HENRY HOLLEMAN M.D. NPI 1891707675

NPI Information

NPI: 1891707675
Provider Name: JEREMIAH HENRY HOLLEMAN, M.D.
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Address:
1000 BLYTHE BLVD
4TH FLOOR
CHARLOTTE, NC
ZIP 28203
Phone: (704) 355-8188
Get Directions

Jeremiah Henry Holleman, M.D. is a vascular surgery surgery in Charlotte, NC. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Jeremiah Henry Holleman, M.D. NPI is 1891707675. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1000 BLYTHE BLVD
4TH FLOOR
CHARLOTTE, NC
ZIP 28203-812
Phone: (704) 355-8188
Fax: (704) 355-8192

The enumeration date for this NPI number is 8/12/2006 and was last updated on 4/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		28044	NORTH CAROLINA	No
2	2086S0129X	Surgery	Vascular Surgery	28044	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	N28044	MEDICAID	SOUTH CAROLINA
2	207331B	MEDICARE PIN	NORTH CAROLINA
3	C84539	MEDICARE UPIN
4	43110	OTHER	NORTH CAROLINA	BCBS
5	P00245246	OTHER		RAILROAD MEDICARE
6	1891707675	MEDICAID	NORTH CAROLINA
7	207331D	MEDICARE PIN	NORTH CAROLINA
8	7943110	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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