JEREMIAH HENRY HOLLEMAN JR. M.D.
NPI 1891707675
Surgery - Vascular Surgery in Charlotte, NC

Q: What is Jeremiah Holleman's NPI number?

The NPI number for Jeremiah Holleman is 1891707675. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Q: What is Jeremiah Holleman's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Jeremiah Holleman was last updated on April 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 August 12, 2006

1000 BLYTHE BLVD, 4TH FLOOR, CHARLOTTE, NC 28203(704) 355-8188(704) 355-8192 Get Directions Write a Review

NPPES record last updated: April 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jeremiah Henry Holleman Jr. M.d. NPPES

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

JEREMIAH HENRY HOLLEMAN JR. M.D. (NPI 1891707675) is an individual vascular surgery provider in Charlotte, North Carolina, licensed in North Carolina (28044) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1891707675

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameJEREMIAH HENRY HOLLEMAN JR.Credential: M.D.

Location Address1000 BLYTHE BLVD, 4TH FLOORCharlotte, NC 28203-5812

Mailing AddressPo Box 601067Charlotte, NC 28260-1067 · (704) 355-8188 · Fax (704) 355-8192

Phone(704) 355-8188

Fax(704) 355-8192

Sole ProprietorNo

Enumeration DateAugust 12, 2006

Last NPPES UpdateApril 28, 2014

✔ NPI 1891707675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in NC · 28044

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSurgeryTaxonomy 208600000X · License 28044 (NC)

1000 BLYTHE BLVD, Charlotte, NC 28203

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Other Identifiers 8

MedicaidN28044SC

Medicare PIN207331BNC

Medicare UPINC84539

Other43110NC · Bcbs

OtherP00245246Railroad Medicare

Medicaid1891707675NC

Medicare PIN207331DNC

Medicaid7943110NC

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.

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