KEVIN M HOLLOWAY (NPI# 1114107810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114107810 |
| Entity Type | Individual |
| Full Name | KEVIN M HOLLOWAY |
| Credential | MD |
| Practice Address |
108 E. Fourth Ave. Cordele GA 31015 |
| Practice Telephone | 2292762190 |
| Practice Fax Number | 2292762191 |
| Mailing Telephone | 2292762190 |
| Mailing Fax Number | 2292762191 |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2009-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 001302 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 792796970B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821025453 | Kevin Michael Holloway | Psychologist | 2053 Cohasset Ct, Frederick, MD 21702-9502 | 2006-06-27 |
| 1003813387 | Kevin B Holloway | Psychiatry & Neurology | 1601 W 16th St, Wellington, KS 67152-8125 | 2005-07-01 |
| 1073619284 | Kevin W Holloway | Pharmacist | 20500 Civic Center Dr, Southfield, MI 48076-4115 | 2006-09-15 |
| Street Address |
108 E. FOURTH AVE. |
| City | CORDELE |
| State | GA |
| Zip Code | 31015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618164 | Jeffrey Allen Wessel Jr. | Physical Therapist | 1107b Greer Street, Cordele, GA 31015 | 2020-08-03 |
| 1316502024 | Clifton Anthony Jordan | Specialist | 1106 East Ave Suite J, Cordele, GA 31015 | 2019-05-08 |
| 1336678440 | Robert Kenneth Lancaster | Dentist | 604 E 15th Avenue, Cordele, GA 31015 | 2017-06-12 |
| 1457602435 | Marvin Tolbert Mcafee IIi | Physician Assistant | 416 East 4th Ave, Suite B, Cordele, GA 31015 | 2012-10-01 |
| 1568719169 | Kimberly Bertelson | Physical Therapy Assistant | 1107 Greer Street, Suite B, Cordele, GA 31015 | 2012-08-14 |
| 1134474174 | R W Leitner Od LLC | Optometrist | 716-c 16th Ave East, Cordele, GA 31015 | 2012-07-16 |
| 1790048023 | Holly K Davis | Nurse Practitioner | 602 E 16th Ave Ste B, Cordele, GA 31015 | 2012-06-21 |
| 1508141482 | Beatrice Hurt Mckee | Nurse Practitioner | 216 Hospital Drive., Cordele, GA 31015 | 2011-10-11 |
| 1669784393 | Elisabeth R Waldrip | Dentist | 115 E 14th Avenue, Cordele, GA 31015 | 2010-07-10 |
| 1063656403 | Priscilla George Thomas | Surgery | 416 E 4th Ave # A, Cordele, GA 31015 | 2009-04-29 |
| Find all providers in zip 31015 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114241940 | Albany Pulmonary and Critical Care, P.C. | Internal Medicine | 214 E 4th Ave, Cordele, GA 31015-3211 | 2010-03-23 |
| 1073720496 | Srilatha Nadipineni | Internal Medicine | 401 E 4th Ave, Cordele, GA 31015-3620 | 2007-05-16 |
| 1619053089 | Fernando J Neuman | Internal Medicine | 115 W 13th Ave, Cordele, GA 31015-4252 | 2006-10-28 |
| 1750335774 | David W Duvall | Internal Medicine | 201 E 16th Ave, Cordele, GA 31015-1623 | 2006-05-22 |
| 1376516484 | David Kavtaradze | Internal Medicine | 1008 N 7th Street, Cordele, GA 31015 | 2006-02-09 |
| 1174595904 | Guido H Ring | Internal Medicine | 108 E 4th Ave, Cordele, GA 31015 | 2006-02-06 |
| 1477523371 | Peter A Donnan | Internal Medicine | 1008 N 7th St, Cordele, GA 31015-3761 | 2006-01-24 |
| 1467779082 | Stevens Health Services PC | Internal Medicine | 416 E 4th Ave, Suite B, Cordele, GA 31015-3672 | 2010-04-21 |
| 1346477288 | Juan Carlos Buitrago | Internal Medicine | 902 N 7th St, Cordele, GA 31015-3234 | 2009-06-18 |
| 1578669602 | Marilyn Y. Carter | Internal Medicine | 902 N 7th St, Cordele, GA 31015-3234 | 2006-09-16 |
| Find all providers in CORDELE | ||||
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| 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.