DERRIK HOLLADAY (NPI# 1245730647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245730647 |
| Entity Type | Individual |
| Full Name | DERRIK HOLLADAY |
| Credential | PA-C |
| Practice Address |
65 Riverton Commons Dr Front Royal VA 22630-6768 |
| Mailing Address |
137 Equestrian Dr Stephens City VA 22655-2150 |
| Practice Telephone | 5406350700 |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-02-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110006089 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
65 RIVERTON COMMONS DR |
| City | FRONT ROYAL |
| State | VA |
| Zip Code | 22630-6768 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700101110 | Steven D. Bridges | Family Medicine | 65 Riverton Commons Dr, Front Royal, VA 22630-6768 | 2010-03-30 |
| 1396390829 | Bridget M Hickson | Nurse Practitioner | 65 Riverton Commons Dr, Front Royal, VA 22630-6768 | 2019-08-01 |
| 1720547417 | Sinead Deirdre Arndt | Physician Assistant | 65 Riverton Commons Dr, Front Royal, VA 22630-6768 | 2019-03-13 |
| 1942709696 | Kevin C Barney | Physician Assistant | 65 Riverton Commons Dr, Front Royal, VA 22630-6768 | 2018-02-08 |
| 1861916785 | Chinor Fattahi | Nurse Practitioner | 65 Riverton Commons Dr, Front Royal, VA 22630 | 2017-08-02 |
| 1043760879 | Amanda Feigenheimer | Nurse Practitioner | 65 Riverton Commons Dr, Front Royal, VA 22630-6768 | 2016-10-05 |
| 1710345020 | Kimberly J. H. Ufomata | Physician Assistant | 65 Riverton Commons Dr, Front Royal, VA 22630-6768 | 2016-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568954535 | Warren Memorial Hospital, Inc. | Internal Medicine | 120 N. Commerce Ave, Ste 203, 245, 255, Front Royal, VA 22630 | 2018-06-05 |
| 1841649712 | Daniel Mendez | Family Medicine | 140 W. Eleventh Street, Front Royal, VA 22630 | 2016-06-10 |
| 1669838579 | Valley Dental Care | Clinic/Center | 842 N. Shenandoah Ave., 1, Front Royal, VA 22630 | 2016-01-07 |
| 1447689088 | Erik Mitchell | Orthopaedic Surgery | 120 N Commerce Ave Ste 103, Front Royal, VA 22630 | 2013-11-04 |
| 1639439789 | John Talbot English IIi | Surgery | 1077 N Shenandoah Ave Ste A, Front Royal, VA 22630 | 2012-05-23 |
| 1316215122 | Roberta M Gilbert | Psychiatry & Neurology | 136 Ruffed Grouse Ct., Lake Frederick, VA 22630 | 2011-12-07 |
| 1407098601 | R.a.c. Security Systems, Inc | Durable Medical Equipment & Medical Supplies | 315 West 14th Street, Front Royal, VA 22630 | 2009-04-02 |
| 1699915298 | National Counseling Group, Inc | Counselor | 134 Peyton Street, Front Royal, VA 22630 | 2009-02-23 |
| 1346449774 | Uhs Front Royal LLC | Psychiatric Residential Treatment Facility | 202 West Criser Road, Suite 400, Front Royal, VA 22630 | 2007-07-16 |
| 1710194774 | Apple Valley Dental Group | Dentist | 869 John Marshall Highway, Suite A, Front Royal, VA 22630 | 2007-05-17 |
| Find all providers in zip 22630 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720547417 | Sinead Deirdre Arndt | Physician Assistant | 65 Riverton Commons Dr, Front Royal, VA 22630-6768 | 2019-03-13 |
| 1942709696 | Kevin C Barney | Physician Assistant | 65 Riverton Commons Dr, Front Royal, VA 22630-6768 | 2018-02-08 |
| 1841644028 | Rebekah Payne | Physician Assistant | 841 N Shenandoah Ave, Front Royal, VA 22630-3501 | 2016-04-14 |
| 1538526553 | Florentina Dobrin | Physician Assistant | 67 Riverton Commons Dr, Front Royal, VA 22630-6768 | 2016-01-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981866 | Madison Emily Lloyd | Physician Assistant | 3416 Gayton Meadows Ter, Henrico, VA 23233-6647 | 2020-10-28 |
| 1962001529 | Careteam, LLC | Physician Assistant | 1330 Amherst St Ste E, Winchester, VA 22601-3054 | 2020-10-23 |
| 1730788514 | Alaina Nichole Wayland | Physician Assistant | 10180 Portsmouth Rd Apt 1, Manassas, VA 20109-8024 | 2020-10-22 |
| 1467050633 | Timothy Jacob Simpson | Physician Assistant | 113 S Davis Ave Apt 6105, Richmond, VA 23220-5156 | 2020-10-11 |
| 1205433885 | Jackson Laboue | Physician Assistant | 3510 Archer Springs Ter, Richmond, VA 23235-2163 | 2020-10-06 |
| 1639786320 | William Barr | Physician Assistant | 240 Gena Ct, Newport News, VA 23602-6300 | 2020-09-26 |
| 1336755297 | Taylor Jones | Physician Assistant | 583 Fowler St, Marion, VA 24354-2203 | 2020-09-16 |
| 1366058232 | Carah Grace Whichard | Physician Assistant | 18778 Grahams Dr, Abingdon, VA 24211-7096 | 2020-09-16 |
| 1962015750 | Hannah Wallen | Physician Assistant | 8101 Hinson Farm Rd Ste 501, Alexandria, VA 22306-3403 | 2020-08-31 |
| 1073126215 | Nickolas Patrick Forsberg | Physician Assistant | 11800 Sunrise Valley Dr Fl 8, Reston, VA 20191-5300 | 2020-08-27 |
| Find all providers with the same taxonomy | ||||
| City | FRONT ROYAL |
| Zip Code | 22630 |
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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.