MEDICARE: JOHN MCGARRY HOLKINS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RI0011X	Interventional Cardiology Physician	0419088	KS
2	207R00000X	Internal Medicine Physician	R4B74	MO
3	207RI0011X	Interventional Cardiology Physician	R4B74	MO
4	207RC0000X	Cardiovascular Disease Physician	R4B74	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	060013887	OTHER		MEDICARE RAILROAD
10	P00853585	OTHER	MO	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	0005755239	OTHER	AETNA HMO
2	8966014	OTHER	BLUE SHIELD OF KC PPO
3	0005755239	OTHER	AETNA
5	431092652A023	OTHER	CHAMPUS TRICARE
6	8966014	OTHER	BLUE SHIELD OF KC HMO
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	0005755239	OTHER	AETNA PPO
9	8966014	OTHER	PHP FREEDOM

General Provider Information

NPI Number	:	1174577431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN MCGARRY HOLKINS MD

Provider Business Mailing Address
First Line	:	203 NW RD MIZE RD STE 200
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014
Country	:	US
Telephone Number	:	816-220-1117
Fax Number	:	816-228-2053

Provider Business Practice Location Address
First Line	:	201 NW R D MIZE RD
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014-2513
Country	:	US
Telephone Number	:	816-220-1117
Fax Number	:	816-228-2053

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	02/13/2026

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