MARK JOHN HOLLAND (NPI# 1346400181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346400181 |
| Entity Type | Individual |
| Full Name | MARK JOHN HOLLAND |
| Credential | MD |
| Practice Address |
2301 San Pedro Dr Ne Suite B Albuquerque NM 87110-4119 |
| Practice Telephone | 5052326818 |
| Mailing Telephone | 5052326818 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2012-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 91 65 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | NEW MEXICO MEDICAL BOARD LICENSE NUMBER | 91-65 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265629430 | Mark Holland | Psychologist | 2435 King Blvd, Suite 313, Casper, WY 82604-3166 | 2007-10-01 |
| 1578691234 | Mark T Holland | Chiropractor | 605 1st Capitol Dr, Saint Charles, MO 63301-2727 | 2007-03-02 |
| 1962541326 | Mark E. Holland | Internal Medicine | 8048 Rutledge Pike, Rutledge, TN 37861 | 2007-02-05 |
| 1194795526 | Mark S Holland | Nurse Anesthetist, Certified Registered | 25 E Street Ste D1, Hickam, HI 96853-5418 | 2006-01-26 |
| 1578568812 | Mark C Holland | Family Medicine | 4404 80th St Ne, Marysville, WA 98270-3427 | 2005-06-14 |
| 1942798970 | Mark Holland | Counselor | 800 N Main St, Malta, OH 43758-9019 | 2018-04-25 |
| Street Address |
2301 SAN PEDRO DR NE SUITE B |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-4119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407062938 | Kurt Simmons | Contractor | 2301 San Pedro Dr Ne, Suite C, Albuquerque, NM 87110-4119 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616679 | Gemma Cristina Zapater | General Practice | 923 Calle Fuerte Ne, Albuquerque, NM 87113-2373 | 2020-10-15 |
| 1710596036 | Provider Cares Network LLC | General Practice | 10401 Montgomery Pkwy Ne Ste 1a, Albuquerque, NM 87111-3876 | 2020-07-23 |
| 1538714381 | Uyama A Fernandez | General Practice | 400 Gold Ave Sw Ste 220, Albuquerque, NM 87102-3278 | 2019-08-08 |
| 1386180909 | Lisselle Marie Villarrubia Ocasio | General Practice | Msc10 6000 1 University of New Mexico, Albuquerque, NM 87131-5505 | 2017-01-07 |
| 1225586969 | Joan Goldsworthy | General Practice | Unm School of Medicine Msc09 5040, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2016-09-12 |
| 1447610886 | Sean T Mcgee | General Practice | Univeristy of New Mexico, Albuquerque, NM 87131-0001 | 2016-02-27 |
| 1265871495 | Mary None Birdsong | General Practice | 3901 Indian School Rd Ne Apt A207, Albuquerque, NM 87110-3855 | 2013-06-20 |
| 1194168617 | Michelle Zielinski | General Practice | Msc Radiology 1 University of New Mexico, Albuquerque, NM 87131 | 2013-04-15 |
| 1538424031 | Michele Sharifzadeh Cox | General Practice | 1026 Vassar Dr Ne, Albuquerque, NM 87106-2631 | 2012-07-10 |
| 1992084008 | John R. Vigil, Md, LLC | General Practice | 3150 Carlisle Blvd Ne Ste 106, Albuquerque, NM 87110-1680 | 2011-08-06 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on MARK JOHN HOLLAND.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.