MICHAEL A HOLY (NPI# 1932105483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932105483 |
Entity Type | Individual |
Full Name | MICHAEL A HOLY |
Credential | M.D. |
Practice Address |
1801 Fairfield Ave Ste 101 Shreveport LA 71101-4457 |
Practice Telephone | 3184241617 |
Practice Fax Number | 3184241610 |
Mailing Telephone | 3184241617 |
Mailing Fax Number | 3184241610 |
Enumeration Date | 2005-06-21 |
Last Update Date | 2008-02-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207W00000X | Ophthalmology | D4157 | TX | Allopathic & Osteopathic Physicians |
Y | 207W00000X | Ophthalmology | 03517R | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1142239 | 05 |
Street Address |
1801 FAIRFIELD AVE STE 101 |
City | SHREVEPORT |
State | LA |
Zip Code | 71101-4457 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033482492 | Stephanie Ann Presley | Nurse Practitioner | 1801 Fairfield Ave, Suite #301, Shreveport, LA 71101-4443 | 2012-02-15 |
1598045551 | Emily Downs | Counselor | 1801 Fairfield Ave, Suite 409, Shreveport, LA 71101-4443 | 2011-08-23 |
1275836264 | W. Ronald Skowsky, Md. LLC. | Specialist | 1801 Fairfield Ave, Ste 307, Shreveport, LA 71101-4443 | 2010-12-13 |
1407189772 | Eyecare Specialists of Louisiana | Ophthalmology | 1801 Fairfield Ave, Suite 103, Shreveport, LA 71101-4457 | 2009-09-17 |
1154561223 | Bellah Medical, LLC | Psychiatry & Neurology | 1801 Fairfield Ave, Suite 409, Shreveport, LA 71101-4443 | 2009-03-02 |
1831334051 | Pediatric Gi Specialists, LLC | Pediatrics | 1801 Fairfield Ave, Suite 305, Shreveport, LA 71101-4467 | 2008-12-03 |
1831350016 | Saimah Talukder | Obstetrics & Gynecology | 1801 Fairfield Ave, Suite 401, Shreveport, LA 71101-4443 | 2008-06-20 |
1114187713 | Marsha A. Friedrich Md | Specialist | 1801 Fairfield Ave, Suite 207, Shreveport, LA 71101-4443 | 2008-06-17 |
1790956068 | Rajan Khanna Md Apmc | Internal Medicine | 1801 Fairfield Ave, Suite 303, Shreveport, LA 71101-4443 | 2008-03-14 |
1730367798 | Drs. Eddleman and Gladney, Amp | Surgery | 1801 Fairfield Ave, Suite 306, Shreveport, LA 71101-4443 | 2008-02-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255988630 | Renee Jewitt | Case Manager/Care Coordinator | 1513 Line Avenue, Suite 225, Shreveport, LA 71101 | 2019-08-21 |
1942770094 | Bessie Larry | Case Manager/Care Coordinator | 1513 Line Av, 222, Shreveport, LA 71101 | 2018-12-03 |
1750875944 | Jarvis Decarleonne Larry | Community Health Worker | 1513 Line Ave # 222, Shreveport, LA 71101 | 2018-06-20 |
1871083485 | Kimberly B. Mcclelland, Lcsw | Counselor | 820 Jordan St. Ste 510w, Shreveport, LA 71101 | 2018-05-18 |
1982106456 | Hudson Amc LLC | Internal Medicine | 1800 Irving Place, Shreveport, LA 71101 | 2018-03-01 |
1528572955 | Spencer Ron Floyd | Counselor | 1717 Marshall Street, Shreveport, LA 71101 | 2017-11-21 |
1578088076 | Brittany Morris | Case Manager/Care Coordinator | 1835 Spring Street Annex Building, Shreveport, LA 71101 | 2017-08-07 |
1275058794 | Diane Williams | Case Manager/Care Coordinator | 217 Jones St Apt 510, Shreveport, LA 71101 | 2017-08-04 |
1386195972 | Jakeya Woodbury | Counselor | 453 Stoner Ave, Shreveport, LA 71101 | 2016-10-18 |
1922459643 | Arlene Huling | Counselor | 449 Egan Street, Shreveport, LA 71101 | 2016-06-23 |
Find all providers in zip 71101 |
Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043744196 | Aigerim B. Saulebayeva | Ophthalmology | 1501 Kings Hwy Bldg 1-201, Shreveport, LA 71103-4228 | 2017-04-16 |
1891168761 | Highland Clinic, A Prof Med Corp | Ophthalmology | 1400 E Bert Koun Loop, #103, Shreveport, LA 71105-5603 | 2015-11-02 |
1861838989 | James Vernon Ward | Ophthalmology | 413 Trinity Cir, Shreveport, LA 71106-2340 | 2013-05-15 |
1871781666 | Karen M'liss Pendleton | Ophthalmology | 6030 Line Ave, Suite 210, Shreveport, LA 71106-2062 | 2007-10-05 |
1295828374 | Jerry Welton Drummond | Ophthalmology | 2514 Bert Kouns Ind Loop, Physicians Plaza #9, Shreveport, LA 71118 | 2006-10-02 |
1356320568 | Jeffrey M Gosslee | Ophthalmology | 725 N Ashley Ridge Loop, Ste 400, Shreveport, LA 71106 | 2006-01-16 |
1235129818 | Donald L Hall | Ophthalmology | 2611 Greenwood Rd, Shreveport, LA 71103-3907 | 2005-10-25 |
1427045814 | M. Ashley Wheat-sipes | Ophthalmology | 7843 Youree Dr, Shreveport, LA 71105-5505 | 2005-09-30 |
1386649788 | Wilson B Baber | Ophthalmology | 734 N Ashley Ridge Loop, Shreveport, LA 71106-7209 | 2005-06-14 |
1255335121 | John D Hinrichsen | Ophthalmology | 1400 E Bert Kouns Loop, Suite #103, Shreveport, LA 71105-5634 | 2005-06-09 |
Find all providers in SHREVEPORT |
City | SHREVEPORT |
Zip Code | 71101 |
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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.