TAEMYN KALISHAR HOLLIS MD
NPI 1841518818
Pediatrics - Pediatric Critical Care Medicine in Grand Rapids, MI

Q: What is Taemyn Hollis's NPI number?

The NPI number for Taemyn Hollis is 1841518818. It was assigned to this individual provider in the NPPES registry on May 14, 2010.

Q: What is Taemyn Hollis's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Taemyn Hollis was last updated on August 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 14, 2010PECOS EnrolledAccepts Medicare Assignment

100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 267-0118 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 7, 2023, Jul 14, 2023, May 11, 2021 and 2 more (5 updates tracked since 2016).

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About Taemyn Kalishar Hollis Md NPPES

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

TAEMYN KALISHAR HOLLIS MD (NPI 1841518818) is an individual pediatric critical care medicine provider in Grand Rapids, Michigan, licensed in Michigan (4301103644) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and is a graduate of Wayne State University School Of Medicine (2011).

NPPES Registry Identity

NPI1841518818

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameTAEMYN KALISHAR HOLLISCredential: MD

Location Address100 MICHIGAN ST NEGrand Rapids, MI 49503-2560

Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560

Phone(616) 267-0118

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2011

Enumeration DateMay 14, 2010

Last NPPES UpdateAugust 7, 20235 updates tracked since enumeration

NPPES CertifiedAugust 7, 2023

✔ NPI 1841518818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in MI · 4301103644

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 4301103644 (MI)

100 MICHIGAN ST NE, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Taemyn Kalishar Hollis Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991943961

PECOS Enrollment IDI20151130001017

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.

JASON P SEAMON DO

Emergency Medicine (Emergency Medical Services)