STACI L HOLLAR (NPI# 1366718405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366718405 |
| Entity Type | Individual |
| Full Name | STACI L HOLLAR |
| Practice Address |
8424 Naab Rd Ste 1l Indianapolis IN 46260-1954 |
| Mailing Address |
8840 Commerce Park Pl Ste E Indianapolis IN 46268-3129 |
| Practice Telephone | 3173387780 |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2016-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 01076248A | IN | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
01076248A | IN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
8424 NAAB RD STE 1L |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46260-1954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942283544 | Patrick Joseph Healey | Internal Medicine | 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 | 2005-11-29 |
| 1154965531 | Monica Deryckere | Nurse Practitioner | 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 | 2019-10-29 |
| 1871149567 | Denise Raley Saxman | Social Worker | 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 | 2019-08-17 |
| 1114407699 | Mary Katherine Molloy | Social Worker | 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 | 2018-08-15 |
| 1144707969 | Cristina Helena Davis | Nurse Practitioner | 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 | 2018-07-24 |
| 1811425382 | Kathleen Kelli Weaver | Nurse Practitioner | 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 | 2017-05-30 |
| 1285087676 | Kristin Keller | Nurse Practitioner | 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 | 2016-07-20 |
| 1164889713 | Cheryl Warriner | Social Worker | 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 | 2016-01-26 |
| 1689063984 | Kelly Freeman | Nurse Practitioner | 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 | 2015-01-10 |
| 1598074692 | Danielle L Davis | Nurse Practitioner | 8424 Naab Rd Ste 1l, Indianapolis, IN 46260-1954 | 2010-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508478298 | Verity Smile Studio, LLC | Clinic/Center | 1619 W. 86th St Suite B, Indianapolis, IN 46260 | 2020-08-23 |
| 1225666589 | Alexander Michael Kiel | Student in an Organized Health Care Education/Training Program | Internal Medicine 3 North, 2001 W. 86th Street, Indianapolis, IN 46260 | 2020-03-31 |
| 1043793151 | Lisa R Foreman | Registered Nurse | 1389 W. 86th Street Unit # 238, Indianapolis, IN 46260 | 2018-09-13 |
| 1790268399 | Esther Muturi | Chore Provider | 1214 Racquetclub South Drive Apt C, Indianapolis, IN 46260 | 2018-09-10 |
| 1912483215 | Katherine Donnelly | Community Health Worker | 1612 Lancashire Ct, Indianapolis, IN 46260 | 2018-07-19 |
| 1326539628 | Peaceful Source Midwifery LLC | Advanced Practice Midwife | 1139 Canterbury Ct., Unit B, Indianapolis, IN 46260 | 2018-05-22 |
| 1144722695 | Mindful Services Center LLC | Clinic/Center | 9002 N Meridian St, Ste 200, Indianapolis, IN 46260 | 2018-03-01 |
| 1144731910 | Meenu Jain | Student in an Organized Health Care Education/Training Program | Internal Medicine, 8414 Naab Road, Suite 100, Indianapolis, IN 46260 | 2017-10-19 |
| 1609392422 | 1717 Senior Living, LLC | Assisted Living Facility | 1703 West 86th Street, Indianapolis, IN 46260 | 2017-08-15 |
| 1093246985 | Royalty Transports LLC | Bus | 2255 W. 67th St., Indianapolis, IN 46260 | 2017-03-23 |
| Find all providers in zip 46260 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1982054664 | Tooba Tariq | Internal Medicine | 720 Eskenazi Ave Ste F2-600, Indianapolis, IN 46202-5187 | 2016-06-14 |
| 1962717348 | Neshahthari Wijeyakuhan | Internal Medicine | 1400 N Ritter Ave Ste 231, Indianapolis, IN 46219-3099 | 2010-08-10 |
| 1972741338 | Duan Lamont Pierce | Internal Medicine | 1333 Walston Ct, Indianapolis, IN 46260-3371 | 2009-01-22 |
| 1073783627 | Dr Housecall | Internal Medicine | 4008 E New York St, Indianapolis, IN 46201-3662 | 2008-03-10 |
| 1003886862 | Robert Young | Internal Medicine | 720 Eskenazi Avenue, Occ, 6th Floor, Indianapolis, IN 46202-5166 | 2006-01-25 |
| 1003817297 | Jodie R Harper | Internal Medicine | 1427 W 86th St, Suite 152, Indianapolis, IN 46260-2103 | 2005-08-10 |
| 1437582384 | Pierce Mobile Medicine, PC | Internal Medicine | 1300 E 86th St, Suite 14 126, Indianapolis, IN 46240-1997 | 2013-08-14 |
| 1417291808 | Lucinda Geis Dunaway | Internal Medicine | 8780 Purdue Rd, Suite # 7, Indianapolis, IN 46268-6129 | 2012-11-26 |
| 1336433432 | Ellen Wayman Kaehr | Internal Medicine | 720 Eskenazi Ave, Suite F2-600, Indianapolis, IN 46202-5187 | 2011-06-06 |
| 1932428836 | Kofi K Quist | Internal Medicine | 1633 N Capitol Ave, Ste 322, Indianapolis, IN 46202-1261 | 2010-05-18 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46260 |
Please comment or provide details below to improve the information on STACI L HOLLAR.
| 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.