Edwin T Holloway (NPI# 1073566956, PAC ID# 5395793384) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1073566956 |
| PAC ID by PECOS | 5395793384 |
| Professional Enrollment ID | I20050106000375 |
| Full Name | Edwin T Holloway |
| Organization Legal Name | CAROLINA MEDICORP ENTERPRISES INC |
| Address |
1918 Randolph Rd Suite 175 Charlotte NC 28207-1107 |
| Phone Number | 7043161050 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1976 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0648174904 |
| Number of Group Practice Members | 89 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340053 | NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1918 Randolph Rd, Suite 175, Charlotte, NC 28207-1107 | 7043161050 | CAROLINA MEDICORP ENTERPRISES INC |
| Organization Legal Name | CAROLINA MEDICORP ENTERPRISES INC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa L Stevens | Physician Assistant | Carolina Medicorp Enterprises Inc | 501 Hickory Branch Dr, Greensboro, NC 27409-9601 |
| Sabrina A Mccluskey | Nurse Practitioner | Carolina Medicorp Enterprises Inc | 15235 John J Delaney Dr B, Charlotte, NC 28277-2846 |
| Michelle A Balmaceda | Family Practice | Carolina Medicorp Enterprises Inc | 9600 E Independence Blvd, Matthews, NC 28105-4628 |
| Kirsten M Gross | Emergency Medicine | Carolina Medicorp Enterprises Inc | 445 S Kings Dr, Charlotte, NC 28204-3041 |
| Eduardo Gembs | Family Practice | Carolina Medicorp Enterprises Inc | 11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4466 |
| Trisha Dmytruk | Nurse Practitioner | Carolina Medicorp Enterprises Inc | 11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4466 |
| Lindsay F Schalles | Nurse Practitioner | Carolina Medicorp Enterprises Inc | 1918 Randolph Rd, Suite 175, Charlotte, NC 28207-1107 |
| Breland M Joines | Physician Assistant | Carolina Medicorp Enterprises Inc | 600 Highland Oaks Dr, Winston Salem, NC 27103-7107 |
| Holly A Jamison | Nurse Practitioner | Carolina Medicorp Enterprises Inc | 2620 N Main St, Suite 109, High Point, NC 27265-2735 |
| Anne F Skinner | Nurse Practitioner | Carolina Medicorp Enterprises Inc | 15235 John J Delaney Dr B, Charlotte, NC 28277-2846 |
| Street Address |
1918 RANDOLPH RD SUITE 175 |
| City | CHARLOTTE |
| State | NC |
| Zip | 28207-1107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thamrah Rhoxana Wright | Family Medicine | Novant Medical Group Inc | 1918 Randolph Rd, Suite 275, Charlotte, NC 28207-1109 |
| Aileen Deng | Internal Medicine | The Presbyterian Hospital | 1918 Randolph Rd, Suite 350, Charlotte, NC 28207-1111 |
| Adam F Spitz | Endocrinology | Novant Medical Group Inc | 1918 Randolph Rd, Suite 220, Charlotte, NC 28207-1109 |
| Sachin J Hansalia | Pulmonary Disease | Novant Medical Group Inc | 1918 Randolph Rd, Suite 580, Charlotte, NC 28207-1116 |
| Christopher D Ferris | Gastroenterology | Tryon Medical Partners, Pllc | 1918 Randolph Rd, Suite 130, Charlotte, NC 28207-1107 |
| Jason S Burgess | General Surgery | Surgical Specialists of Charlotte Pa | 1918 Randolph Rd, Suite 130, Charlotte, NC 28207-1107 |
| John S Dawson | Family Medicine | Carolina Medicorp Enterprises, Inc. | 1918 Randolph Rd, Suite 175, Charlotte, NC 28207-1107 |
| Rupal N Badalyan | Internal Medicine | Tryon Medical Partners, Pllc | 1918 Randolph Rd, Suite 130, Charlotte, NC 28207-1107 |
| Meredith J Faulkner | Internal Medicine | Tryon Medical Partners, Pllc | 1918 Randolph Rd, Suite 130, Charlotte, NC 28207-1107 |
| Krista E Stark | Physician Assistant | Surgical Specialists of Charlotte Pa | 1918 Randolph Rd, Suite 130, Charlotte, NC 28207-1107 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin M Rudisel | Internal Medicine | Novant Medical Group Inc | 1901 Randolph Rd, Charlotte, NC 28207-1101 |
| Philip M Dayvault | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Tyler L Carllee | Orthopedic Surgery | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Lindsay C Collins | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Kristen L Alford | Physical Therapy | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Marcie Heslop Siebert | Occupational Therapy | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Eric C Heckman | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Shannon Mullaly | Physical Therapy | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Timothy A Boyd | Physician Assistant | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Raymond G Gaston | Hand Surgery | Orthocarolina, Pa | 1915 Randolph Rd, Charlotte, NC 28207-1101 |
| Find all physicians in zip 28207 | |||
| City | CHARLOTTE |
| Zip Code | 28207 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | CHARLOTTE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Edwin T Holloway.
| 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.