JOHN ROBERT HOLLERUD M.D.
NPI 1942317888
Pediatrics in Blaine, MN

Active since August 24, 2006
11107 ULYSSES ST NE STE 100, BLAINE, MN 55434(763) 333-7733(763) 333-7711 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 30, 2021, Mar 26, 2021 (2 updates tracked since 2021).

About John Robert Hollerud M.d. NPPES

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

JOHN ROBERT HOLLERUD M.D. (NPI 1942317888) is an individual pediatrics provider in Blaine, Minnesota, licensed in Minnesota (36159) and active in the NPI registry since August 2006. He maintains a secondary practice location in Fridley.

NPPES Registry Identity

NPI1942317888
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJOHN ROBERT HOLLERUDCredential: M.D.
Location Address11107 ULYSSES ST NE STE 100Blaine, MN 55434-4264
Mailing Address11107 Ulysses St Ne Ste 100Blaine, MN 55434-4264 · (763) 333-7733 · Fax (763) 333-7711
Fax(763) 333-7711
Sole ProprietorYes
Enumeration DateAugust 24, 2006
Last NPPES UpdateJune 30, 20212 updates tracked since enumeration
NPPES CertifiedJune 30, 2021
NPI 1942317888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MN · 36159
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

11107 ULYSSES ST NE STE 100, Blaine, MN 55434

Secondary Practice Location 1

Location 17225 University Ave NEFridley, MN 55432-3134 · Phone (763) 333-7733

Other Identifiers 1

Medicaid895363500MN

Accepted Insurance

Other Providers at the Same Location NPPES 7

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

Pediatrics
11107 ULYSSES ST NE STE 100
BLAINE, MN 55434
Pediatrics
11107 ULYSSES ST NE STE 100
BLAINE, MN 55434
Pediatrics
11107 ULYSSES ST NE STE 100
BLAINE, MN 55434
Pediatrics
11107 ULYSSES ST NE STE 100
BLAINE, MN 55434
Nurse Practitioner (Pediatrics)
11107 ULYSSES ST NE STE 100
BLAINE, MN 55434
Pediatrics
11107 ULYSSES ST NE STE 100
BLAINE, MN 55434
Nurse Practitioner
11107 ULYSSES ST NE STE 100
BLAINE, MN 55434

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Hollerud's NPI number?

The NPI number for John Hollerud is 1942317888. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is John Hollerud located?

John Hollerud practices at 11107 Ulysses St NE Ste 100, Blaine, MN 55434. The listed phone number is (763) 333-7733.

What is John Hollerud's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does John Hollerud accept?

Health plans from HealthPartners and Medica list John Hollerud as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Hollerud was last updated on June 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.