MR. WES HOLLAND (NPI# 1114080645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114080645 |
| Entity Type | Individual |
| Full Name | MR. WES HOLLAND |
| Credential | C.PED. |
| Practice Address |
1758 Park Pl Suite 300 Montgomery AL 36106-1127 |
| Mailing Address |
1055 Stableway Rd Pike Road AL 36064-2764 |
| Practice Telephone | 3345387696 |
| Mailing Telephone | 3342771551 |
| Mailing Fax Number | 9097402012 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCP CERTIFICATION NUMBER | 2588 | 01 |
| Street Address |
1758 PARK PL SUITE 300 |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699765271 | Howard L Brazil | Specialist | 1758 Park Pl, Montgomery, AL 36106-1133 | 2005-10-25 |
| 1407387848 | Jackson Hospital and Clinic Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1758 Park Pl, Suite 202, Montgomery, AL 36106-1127 | 2017-03-27 |
| 1578003745 | Jackson Hospital and Clinic Inc. | Internal Medicine | 1758 Park Pl, Suite 406, Montgomery, AL 36106-1127 | 2017-03-07 |
| 1194261669 | Jackson Hospital and Clinic Inc. | Internal Medicine | 1758 Park Pl, Suite 402, Montgomery, AL 36106-1127 | 2017-01-09 |
| 1912362773 | Jackson Hospital and Clinic Inc | Internal Medicine | 1758 Park Pl, Suite 401, Montgomery, AL 36106-1127 | 2015-12-22 |
| 1558764266 | Jackson Hospital and Clinic Inc | Obstetrics & Gynecology | 1758 Park Pl, Suite 301, Montgomery, AL 36106-1127 | 2014-10-08 |
| 1528475084 | William Saliski | Nurse Practitioner | 1758 Park Pl, Ste 300, Montgomery, AL 36106-1127 | 2014-07-16 |
| 1093068900 | Stewart H Tankersley, Md, LLC | Clinic/Center | 1758 Park Pl, Suite 200, Montgomery, AL 36106-1127 | 2012-10-17 |
| 1841576915 | Shelley Sanders Byrd | Nurse Practitioner | 1758 Park Pl, Suite 100, Montgomery, AL 36106-1127 | 2011-11-02 |
| 1346566700 | Latoya Shantel Clark | Obstetrics & Gynecology | 1758 Park Pl, Suite 406, Montgomery, AL 36106-1127 | 2010-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013160886 | Audwin Darrell Harwell | Orthotist | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2008-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265930812 | Antwaun Burroughs | Orthotist | 181 W Valley Ave Ste 225, Birmingham, AL 35209-3691 | 2018-01-29 |
| 1073038667 | Tracy Delane Adams | Orthotist | 2905 Bob Wallace Ave Sw Ste B, Huntsville, AL 35805-4166 | 2017-08-04 |
| 1508082249 | Richard Scussel | Orthotist | 1480 Ross Clark Cir, Dothan, AL 36301-4752 | 2007-04-18 |
| 1568457760 | Lance Eric Pearson | Orthotist | 1425 21st St S, Suite 104, Birmingham, AL 35205-3898 | 2005-09-13 |
| 1538641774 | Brace Yourself Orthotics & Prostetics, LLC. | Orthotist | 181 W Valley Ave, Birmingham, AL 35209-3691 | 2018-09-04 |
| 1235382854 | Joseph E. Hoffert | Orthotist | 345 Healthwest Dr, Dothan, AL 36303-2053 | 2008-10-28 |
| 1083830798 | Joseph Whatley | Orthotist | 345 Healthwest Dr, Dothan, AL 36303-2053 | 2007-04-18 |
| 1235215880 | Joe Cantley | Orthotist | 945 Mcfarland Blvd, Northport, AL 35476-3374 | 2006-10-27 |
| 1992887228 | William A Gill | Orthotist | 945 Mcfarland Blvd, Northport, AL 35476-3374 | 2006-10-19 |
| City | MONTGOMERY |
| Zip Code | 36106 |
Please comment or provide details below to improve the information on MR. WES HOLLAND.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.