Lee A Holladay (NPI# 1821038019, PAC ID# 7113982885) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1821038019 |
| PAC ID by PECOS | 7113982885 |
| Professional Enrollment ID | I20041122000719 |
| Full Name | Lee A Holladay |
| Organization Legal Name | CHRISTUS GOOD SHEPHERD MEDICAL CENTER |
| Address |
323 E Hawkins Pkwy D Good Shepherd Medical Center Northpark Longview TX 75605-8165 |
| Phone Number | 9035446700 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 1999 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 3779565544 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450032 | GOOD SHEPHERD MEDICAL CENTER MARSHALL |
| Address | Phone | Organization |
|---|---|---|
| 323 E Hawkins Pkwy D, Good Shepherd Medical Center Northpark, Longview, TX 75605-8165 | 9035446700 | CHRISTUS GOOD SHEPHERD MEDICAL CENTER |
| Organization Legal Name | CHRISTUS GOOD SHEPHERD MEDICAL CENTER |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Schulundria S Williams | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 323 E Hawkins Pkwy D, Good Shepherd Medical Center Northpark, Longview, TX 75605-8165 |
| Richard Carlton Klima | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 700 E Marshall Ave, Longview, TX 75601-5580 |
| Randall W Young | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 700 E Marshall Ave, Longview, TX 75601-5580 |
| Donna Goecke | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 700 E Marshall Ave, Longview, TX 75601-5580 |
| Clifton Fincher | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 700 E Marshall Ave, Longview, TX 75601-5580 |
| Jeffrey L Williams | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 323 E Hawkins Pkwy D, Good Shepherd Medical Center Northpark, Longview, TX 75605-8165 |
| Abby N Godwin | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 700 E Marshall Ave, Longview, TX 75601-5580 |
| Richard L Holladay | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 323 E Hawkins Pkwy D, Good Shepherd Medical Center Northpark, Longview, TX 75605-8165 |
| Zackary G Lister | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 323 E Hawkins Pkwy D, Good Shepherd Medical Center Northpark, Longview, TX 75605-8165 |
| Bradley B Taylor | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 323 E Hawkins Pkwy D, Good Shepherd Medical Center Northpark, Longview, TX 75605-8165 |
| Street Address |
323 E HAWKINS PKWY D GOOD SHEPHERD MEDICAL CENTER NORTHPARK |
| City | LONGVIEW |
| State | TX |
| Zip | 75605-8165 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Schulundria S Williams | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 323 E Hawkins Pkwy D, Good Shepherd Medical Center Northpark, Longview, TX 75605-8165 |
| Jeffrey L Williams | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 323 E Hawkins Pkwy D, Good Shepherd Medical Center Northpark, Longview, TX 75605-8165 |
| Richard L Holladay | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 323 E Hawkins Pkwy D, Good Shepherd Medical Center Northpark, Longview, TX 75605-8165 |
| Zackary G Lister | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 323 E Hawkins Pkwy D, Good Shepherd Medical Center Northpark, Longview, TX 75605-8165 |
| Bradley B Taylor | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 323 E Hawkins Pkwy D, Good Shepherd Medical Center Northpark, Longview, TX 75605-8165 |
| Jamie M Roberts | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 323 E Hawkins Pkwy D, Good Shepherd Medical Center Northpark, Longview, TX 75605-8165 |
| Richard W Hinson | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 323 E Hawkins Pkwy D, Good Shepherd Medical Center Northpark, Longview, TX 75605-8165 |
| Gregory Hays Harris | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 323 E Hawkins Pkwy D, Good Shepherd Medical Center Northpark, Longview, TX 75605-8165 |
| Joe P Tait | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 323 E Hawkins Pkwy D, Good Shepherd Medical Center Northpark, Longview, TX 75605-8165 |
| Waylon D Williams | Certified Registered Nurse Anesthetist (crna) | Christus Good Shepherd Medical Center | 323 E Hawkins Pkwy D, Good Shepherd Medical Center Northpark, Longview, TX 75605-8165 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brianne J Anders | Physical Therapy | Ak Fitness Health Center Inc. | 2903 Judson Rd, Longview, TX 75605-1803 |
| Cody R Hopson | Chiropractic | 2901 Judson Rd, Longview, TX 75605-1803 | |
| Leslie A Sanders | Physical Therapy | Ak Fitness Health Center Inc. | 2903 Judson Rd, Longview, TX 75605-1803 |
| Joseph H Anders | Physical Therapy | Ak Fitness Health Center Inc. | 2903 Judson Rd, Longview, TX 75605-1803 |
| Brenton Robinson | Nurse Practitioner | Procedural Office Operation Professionals LLC | 2828 Bill Owens Pkwy A, Longview, TX 75605-2102 |
| Gregory K Wacasey | Optometry | 2834 Bill Owens Pkwy, Longview, TX 75605-2102 | |
| Edward C Ledbetter | Chiropractic | Procedural Office Operation Professionals LLC | 2828 Bill Owens Pkwy, Suite A, Longview, TX 75605-2102 |
| Candis R Mendoza | Chiropractic | 2706 Bill Owens Pkwy, Longview, TX 75605-2136 | |
| Alex J Smith | Internal Medicine | 2107 Courthouse Dr, Suite 103, Longview, TX 75605-2355 | |
| Rajani Ruth Caesar | Neurology | Associated Clinicians of East Texas | 707 Hollybrook Dr, Suite 500, Longview, TX 75605-2409 |
| Find all physicians in zip 75605 | |||
| City | LONGVIEW |
| Zip Code | 75605 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | LONGVIEW + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Lee A Holladay.
| 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.