CHARLES H HOLLOWAY (NPI# 1760465413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760465413 |
| Entity Type | Individual |
| Full Name | CHARLES H HOLLOWAY |
| Credential | MD |
| Practice Address |
1900 Fairview Ave Dothan AL 36301-3008 |
| Mailing Address |
2015 Alexander Dr Dothan AL 36301-3003 |
| Practice Telephone | 3347939511 |
| Practice Fax Number | 3347940721 |
| Mailing Telephone | 3346711696 |
| Mailing Fax Number | 3347940721 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2010-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
13689 | AL | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
13689 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 000018164 | 05 | |
| AL | 009931904 | 05 | |
| AL | 009931907 | 05 | |
| AL | 009931906 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275838377 | Charles Farrell Holloway IIi | Pharmacist | 47 Sw 17th St Ste A, Ocala, FL 34471-8104 | 2011-01-20 |
| 1063784676 | Charles W Holloway | Physician Assistant | 1775 Access Rd Ste C, Covington, GA 30014-1987 | 2012-01-30 |
| 1285933531 | Charles Edward Holloway | Counselor | 1021 N Broadway, Everett, WA 98201-1405 | 2011-03-24 |
| 1417287830 | Charles Holloway | Counselor | 205 J T Stites Blvd, Sallisaw, OK 74955-9301 | 2010-01-07 |
| Street Address |
1900 FAIRVIEW AVE |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-3008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083697718 | Radiology Associates of Dothan PC | Radiology | 1900 Fairview Ave, Dothan, AL 36301-3008 | 2005-11-28 |
| 1134306616 | Elizabeth Parker | Radiology | 1900 Fairview Ave, Dothan, AL 36301-3008 | 2008-01-27 |
| 1427232966 | Liang Gu | Radiology | 1900 Fairview Ave, Radiology Associates of Dothan, Dothan, AL 36301-3008 | 2007-12-19 |
| 1699725457 | James Scott Bolton | Radiology | 1900 Fairview Ave, Dothan, AL 36301-3008 | 2006-05-11 |
| 1700860277 | Michael N Downing | Radiology | 1900 Fairview Ave, Dothan, AL 36301-3008 | 2005-11-30 |
| 1023092509 | Sibley N Turner | Radiology | 1900 Fairview Ave, Dothan, AL 36301-3008 | 2005-11-30 |
| 1851374581 | Christopher Ahmed | Radiology | 1900 Fairview Ave, Dothan, AL 36301-3008 | 2005-11-28 |
| 1194708842 | Julia A Alexander | Radiology | 1900 Fairview Ave, Dothan, AL 36301-3008 | 2005-11-28 |
| 1437132180 | David A Brink | Radiology | 1900 Fairview Ave, Dothan, AL 36301-3008 | 2005-11-28 |
| 1932182581 | Milton A Lennicx | Radiology | 1900 Fairview Ave, Dothan, AL 36301-3008 | 2005-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528445145 | Dothan Diagnostic Imaging Radiology, Pllc | Radiology | 217 Graceland Dr Ste 4, Dothan, AL 36305-7376 | 2015-05-04 |
| 1730409608 | Robert Evans Egbert | Radiology | 2015 Alexander Dr, Dothan, AL 36301-3003 | 2010-06-02 |
| 1972561686 | Dothan Diagnostic Imaging, Inc | Radiology | 2240 W Main St, Dothan, AL 36301-1222 | 2006-05-02 |
| 1134306616 | Elizabeth Parker | Radiology | 1900 Fairview Ave, Dothan, AL 36301-3008 | 2008-01-27 |
| 1427232966 | Liang Gu | Radiology | 1900 Fairview Ave, Radiology Associates of Dothan, Dothan, AL 36301-3008 | 2007-12-19 |
| 1417019670 | Rheumatology Associates of Dothan Idtf | Radiology | 4300 W Main St, Suite 102, Dothan, AL 36305-1054 | 2006-12-14 |
| 1619923554 | Southwood Radiology | Radiology | 1891 Honeysuckle Rd, Suite 3, Dothan, AL 36305-4269 | 2006-05-25 |
| 1699725457 | James Scott Bolton | Radiology | 1900 Fairview Ave, Dothan, AL 36301-3008 | 2006-05-11 |
| 1851368880 | Donna H. West | Radiology | 2115 W Main St, Dothan, AL 36301-1289 | 2006-03-08 |
| 1700860277 | Michael N Downing | Radiology | 1900 Fairview Ave, Dothan, AL 36301-3008 | 2005-11-30 |
| Find all providers in DOTHAN | ||||
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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.