HOLDEN MAYFIELD
NPI 1780466359
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Q: What is Holden Mayfield's NPI number?

The NPI number for Holden Mayfield is 1780466359. It was assigned to this individual provider in the NPPES registry on October 18, 2023.

Q: What is Holden Mayfield's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Holden Mayfield was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 18, 2023PECOS Enrolled

1111 W 17TH ST, TULSA, OK 74107(405) 570-6609 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Holden Mayfield NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLDEN MAYFIELD (NPI 1780466359) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780466359

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameHOLDEN MAYFIELD

Location Address1111 W 17TH STTulsa, OK 74107-1886

Mailing AddressPo Box 2045Blanchard, OK 73010-2045 · (405) 570-6609

Phone(405) 570-6609

Sole ProprietorYes

Enumeration DateOctober 18, 2023

NPPES CertifiedOctober 18, 2023

✔ NPI 1780466359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1111 W 17TH ST, Tulsa, OK 74107

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holden Mayfield is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRAHAM NATHAN JAMEISON MAT, ATC