CONNIE J HOLLADAY (NPI# 1588698518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588698518 |
Entity Type | Individual |
Full Name | CONNIE J HOLLADAY |
Credential | M.C. |
Practice Address |
438 E. Vann Road Suite 100 Greeneville TN 37743-7202 |
Mailing Address |
Po Box 37087 Baltimore MD 21297-3807 |
Practice Telephone | 4232781700 |
Practice Fax Number | 4232781712 |
Mailing Telephone | 8286876282 |
Mailing Fax Number | 8286876285 |
Enumeration Date | 2006-07-10 |
Last Update Date | 2010-10-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
MD15684 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 0018811 | 05 | |
TN | BCBS OF TN | 4009043 | 01 |
TN | 1518493 | 05 |
Street Address |
438 E. VANN ROAD SUITE 100 |
City | GREENEVILLE |
State | TN |
Zip Code | 37743-7202 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023412020 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2324 Asheville Highway, Greeneville, TN 37743 | 2014-10-20 |
1437552536 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 645 Rambo Road, Greeneville, TN 37743 | 2014-10-02 |
1205264058 | Robert Maddox | Social Worker | 421 5th Ave North, Employee Health Clinic, 2nd Floor Central Services Bldg, Nashville, TN 37743 | 2013-10-14 |
1336574326 | Cathy J Davis | Occupational Therapy Assistant | 910 West Summer Street, Greeneville, TN 37743 | 2013-09-09 |
1659614238 | Person Centered Choices, LLC | In Home Supportive Care | 615 W. Main St., Ste. 204, Greeneville, TN 37743 | 2013-04-01 |
1730449943 | Jenilee Stepp | Behavioral Analyst | 1007 West Main Suite B, Greenville, TN 37743 | 2012-05-22 |
1083971303 | Jessica Allison Mcafee | Registered Nurse | 401 Takoma Ave., Suite 1, Second Floor, Greeneville, TN 37743 | 2012-04-12 |
1780958454 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2497 Buckingham Rd., Greeneville, TN 37743 | 2012-02-28 |
1629342415 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 102 Dyer St., Greeneville, TN 37743 | 2012-02-27 |
1215200118 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2495 Buckingham Road, Greeneville, TN 37743 | 2012-02-23 |
Find all providers in zip 37743 |
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 |
---|---|---|---|---|
1518564863 | Matter Health of Alabama LLC | Internal Medicine | 645 Grassmere Park, Nashville, TN 37211-3659 | 2020-10-08 |
1558751339 | America's Telemd LLC | Internal Medicine | 5606 Cloverland Dr, Unit 110, Brentwood, TN 37027-4876 | 2015-01-30 |
1437240504 | Lorna May Birch | Internal Medicine | 425 Cumberland Street, Suite 110, Chattanooga, TN 37404 | 2006-09-27 |
1386674679 | Lotika Pandit | Internal Medicine | 6073 E Brainerd Rd, Chattanooga, TN 37421-3909 | 2006-07-03 |
1992741482 | Amisub (sfh) Inc. | Internal Medicine | 5929 Park Ave, Memphis, TN 38119-5150 | 2006-06-21 |
1134162134 | Stephen J D'amico | Internal Medicine | 4200 Murfreesboro Pike, Antioch, TN 37013-2789 | 2006-06-14 |
1861430399 | Robert M Hollister | Internal Medicine | 316 Battle Ave, Franklin, TN 37064-3519 | 2006-06-04 |
1386698843 | Larry Burton Hudgins | Internal Medicine | 715 Rambling Rd, Johnson City, TN 37604-2425 | 2006-05-20 |
1649221938 | Purihin Clinic-p. C. | Internal Medicine | 3535 Chere Carol Rd, Humboldt, TN 38343-3634 | 2006-05-12 |
1023097177 | Allen Stephen Uhlik | Internal Medicine | 144 Medical Center Dr, Copperhill, TN 37317-5000 | 2006-01-16 |
Find all providers with the same taxonomy |
City | GREENEVILLE |
Zip Code | 37743 |
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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.