MICHAEL G HOLLOMON (NPI# 1184674962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184674962 |
| Entity Type | Individual |
| Full Name | MICHAEL G HOLLOMON |
| Credential | MD |
| Practice Address |
601 W Maple Suite 403 Springdale AR 72764-5374 |
| Mailing Address |
601 West Maple Suite 403 Springdale AR 72764-5374 |
| Practice Telephone | 4797502742 |
| Practice Fax Number | 4797502742 |
| Mailing Telephone | 4797502742 |
| Mailing Fax Number | 4797502742 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2010-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
R2597 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 103605001 | 05 |
| Street Address |
601 W MAPLE SUITE 403 |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72764-5374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851903884 | Conway County Community Service Inc. | Community/Behavioral Health | 616 E. Emma Avenue, Suite 244, Springdale, AR 72764 | 2020-08-20 |
| 1316592801 | Above and Beyond Pediatric Therapy, Inc | Speech-Language Pathologist | 2700 American St., Ste B, Springdale, AR 72764 | 2019-08-02 |
| 1053871061 | Specialized Hearing Instruments, Inc. | Audiologist-Hearing Aid Fitter | 958 S. West End St., Springdale, AR 72764 | 2019-03-25 |
| 1801385976 | Taylor Beauregard Kelamis | Nurse Practitioner | Mercy Clinic Family Medicine, 1110 W. Robinson Ave, Springdale, AR 72764 | 2018-05-04 |
| 1649726878 | Ember Estelle Lanuti Brown | Speech-Language Pathologist | 4209 Navajo Court, Springdale, AR 72764 | 2016-08-28 |
| 1568838241 | Elayna Wells | Speech-Language Pathologist | 900 S Powell Street, Springdale, AR 72764 | 2015-08-17 |
| 1184003261 | Okeyo Oghina | Nurse Practitioner | 609 West Maple Avenue, Northwest Health System, Springdale, AR 72764 | 2015-05-22 |
| 1235524869 | William M Rogers | Family Medicine | 513 N. Shiloh Street, Springdale, AR 72764 | 2015-03-31 |
| 1336498872 | Kelly Meeann Miller | Speech-Language Pathologist | 105 S Blair Street, Springdale, AR 72764 | 2012-08-30 |
| 1902183874 | Cristy Hoffman | Physical Therapy Assistant | 2837 American St Ste A, Springdale, AR 72764 | 2011-11-07 |
| Find all providers in zip 72764 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811170301 | Annette N. Anderson | Psychiatry & Neurology | 495 Hogan Ln Ste 2, Conway, AR 72034-8498 | 2007-12-07 |
| 1902856867 | Gary A Linker | Psychiatry & Neurology | 12 E Appleby, Suite 101, Fayetteville, AR 72703 | 2006-05-11 |
| 1548230550 | Graham Mack Reid | Psychiatry & Neurology | 10816 Executive Center Dr, Suite 101, Little Rock, AR 72211-4384 | 2006-01-23 |
| 1306843396 | William Martin Meaney | Psychiatry & Neurology | 907 Mena St, Mena, AR 71953-4247 | 2005-07-05 |
| 1558667683 | Annette N. Anderson, Md, Pa | Psychiatry & Neurology | 2425 Dave Ward Dr, Suite 102, Conway, AR 72034-8686 | 2011-02-08 |
| 1083932362 | Margaret Amanda Ege-woolley | Psychiatry & Neurology | 4301 W Markham St, Mail Slot 552, Little Rock, AR 72205-7101 | 2010-05-11 |
| 1174644140 | Joshua Woolley | Psychiatry & Neurology | 2200 Fort Roots Dr, Building 170 Unit 1l, North Little Rock, AR 72114-1709 | 2007-04-03 |
| 1154411627 | Lou Eads | Psychiatry & Neurology | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-10-13 |
| 1336253533 | Monica Rohde Shotwell | Psychiatry & Neurology | 2200 Fort Roots Dr, Bldg 170, Ward 1h, North Little Rock, AR 72114-1709 | 2006-08-18 |
| 1366458044 | Dinesh Mittal | Psychiatry & Neurology | 2200 Fort Roots Dr, Building 58 (152/nlr), North Little Rock, AR 72114-1709 | 2006-08-01 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGDALE |
| Zip Code | 72764 |
Please comment or provide details below to improve the information on MICHAEL G HOLLOMON.
| 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.