Jacob C Holloway (NPI# 1851751630, PAC ID# 0749562163) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1851751630 |
PAC ID by PECOS | 0749562163 |
Professional Enrollment ID | I20170119002567 |
Full Name | Jacob C Holloway |
Organization Legal Name | PALM VALLEY EMERGENCY PHYSICIANS SPECIALISTS PLLC |
Address |
1040 W Jefferson St Valley Baptist Brownsville TX 78520-6338 |
Phone Number | 9566985400 |
Gender | M |
Graduation Year | 2015 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 5395783302 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
450033 | VALLEY BAPTIST MEDICAL CENTER - HARLINGEN |
Address | Phone | Organization |
---|---|---|
100 A E Alton Gloor Blvd, Brownsville, TX 78526-3346 | 9563607000 | TEXAS EM I MEDICAL SERVICES PA |
1040 W Jefferson St, Valley Baptist, Brownsville, TX 78520-6338 | 9566985400 | PALM VALLEY EMERGENCY PHYSICIANS SPECIALISTS PLLC |
Organization Legal Name | PALM VALLEY EMERGENCY PHYSICIANS SPECIALISTS PLLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Imran U Haq | General Surgery | Palm Valley Emergency Physicians Specialists Pllc | 1040 W Jefferson St, Valley Baptist, Brownsville, TX 78520-6338 |
Street Address |
1040 W JEFFERSON ST VALLEY BAPTIST |
City | BROWNSVILLE |
State | TX |
Zip | 78520-6338 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jose L Garcia Iii | Certified Registered Nurse Anesthetist (crna) | Harlingen Anesthesia Associates | 1040 W Jefferson St, Brownsville, TX 78520-6338 |
Helen D Padgett | Certified Registered Nurse Anesthetist (crna) | Harlingen Anesthesia Associates | 1040 W Jefferson St, Brownsville, TX 78520-6338 |
Marvin J Butterfield | Certified Registered Nurse Anesthetist (crna) | Harlingen Anesthesia Associates | 1040 W Jefferson St, Brownsville, TX 78520-6338 |
Robin M Woodard | Certified Registered Nurse Anesthetist (crna) | Harlingen Anesthesia Associates | 1040 W Jefferson St, Brownsville, TX 78520-6338 |
Michael E Cooney | Certified Registered Nurse Anesthetist (crna) | Harlingen Anesthesia Associates | 1040 W Jefferson St, Brownsville, TX 78520-6338 |
Franz Velarde | Diagnostic Radiology | Valley Radiologists and Associates | 1040 W Jefferson St, Brownsville, TX 78520-6338 |
Gonzalo Flores | Certified Registered Nurse Anesthetist (crna) | Harlingen Anesthesia Associates | 1040 W Jefferson St, Brownsville, TX 78520-6338 |
Carol A Aguirre Gonzalez | Certified Registered Nurse Anesthetist (crna) | Harlingen Anesthesia Associates | 1040 W Jefferson St, Brownsville, TX 78520-6338 |
Julio C Mckee | Certified Registered Nurse Anesthetist (crna) | Harlingen Anesthesia Associates | 1040 W Jefferson St, Brownsville, TX 78520-6338 |
Beverly A Zavaleta | Family Medicine | Femi Layiwola Md Pa | 1040 W Jefferson St, Brownsville, TX 78520-6338 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Humberto H De La Vega | Family Medicine | 4365 S, 83 Suite 800, Brownsville, TX 78520 | |
Jorge P Freiman | Anesthesiology | Harlingen Anesthesia Associates | 1040 W Jefferson, Brownsville, TX 78520-0000 |
Louis F Lester Ii | Anesthesiology | Harlingen Anesthesia Associates | 1040 W Jefferson, Brownsville, TX 78520-0000 |
Patricia F Wawroski | Anesthesiology | Harlingen Anesthesia Associates | 1040 W Jefferson, Brownsville, TX 78520-0000 |
Paul H Yang | Anesthesiology | Harlingen Anesthesia Associates | 1040 W Jefferson, Brownsville, TX 78520-0000 |
Rohan K Bannis | Anesthesiology | Harlingen Anesthesia Associates | 1040 W Jefferson, Brownsville, TX 78520-0000 |
Lemuel Newton | Anesthesiology | Harlingen Anesthesia Associates | 1040 W Jefferson, Brownsville, TX 78520-0000 |
Michael E Simpson | Anesthesiology | Harlingen Anesthesia Associates | 1040 W Jefferson, Brownsville, TX 78520-0000 |
Gerard J Desouza | Anesthesiology | Harlingen Anesthesia Associates | 1040 W Jefferson, Brownsville, TX 78520-0000 |
Yenabi Joseph Keflemariam | Anesthesiology | Harlingen Anesthesia Associates | 1040 W Jefferson, Brownsville, TX 78520-0000 |
Find all physicians in zip 78520 |
City | BROWNSVILLE |
Zip Code | 78520 |
Specialty | NURSE PRACTITIONER |
City + Specialty | BROWNSVILLE + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.