SAMUEL KYLE HOLLOWAY (NPI# 1023546256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023546256 |
| Entity Type | Individual |
| Full Name | SAMUEL KYLE HOLLOWAY |
| Practice Address |
2 Bernardine Dr Newport News VA 23602-4404 |
| Mailing Address |
1200 Jamaica Ave Chesapeake VA 23322-6928 |
| Practice Telephone | 7578866000 |
| Mailing Telephone | 7576519756 |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2017-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639354905 | Samuel Winfield Holloway | Chiropractor | 3101 Cottman Ave, Philadelphia, PA 19149-1502 | 2008-01-07 |
| Street Address |
2 BERNARDINE DR |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23602-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955204 | Ruth H. Innes | Family Medicine | 2 Bernardine Dr, Newport News, VA 23602-4404 | 2005-07-14 |
| 1194355214 | Eliezer Dulay Urbano | Clinical Nurse Specialist | 2 Bernardine Dr, Newport News, VA 23602-4404 | 2020-01-16 |
| 1639631849 | Pamela Vancott | Pharmacist | 2 Bernardine Dr, Newport News, VA 23602-4499 | 2019-04-05 |
| 1487116455 | Katherine Nicole Hill Sheppard | Registered Nurse | 2 Bernardine Dr, Newport News, VA 23602-4404 | 2019-04-01 |
| 1053825760 | Anna Marie Rhodes | Specialist/Technologist, Other | 2 Bernardine Dr, Newport News, VA 23602-4404 | 2017-11-17 |
| 1114470853 | Lauren N Sharpe-payne | Speech-Language Pathologist | 2 Bernardine Dr, Newport News, VA 23602 | 2016-07-29 |
| 1538535463 | Mary Immaculate Hospital LLC | General Acute Care Hospital | 2 Bernardine Dr, Newport News, VA 23602-4404 | 2015-08-14 |
| 1518344530 | Jason Bavarian | Emergency Medicine | 2 Bernardine Dr, Newport News, VA 23602-4404 | 2015-04-28 |
| 1760878078 | Catherine Shany Agustiady-becker | Emergency Medicine | 2 Bernardine Dr, Newport News, VA 23602 | 2015-04-13 |
| 1326432899 | Lindsey Belk Williams | Anesthesiology | 2 Bernardine Dr, Newport News, VA 23602-4499 | 2015-03-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789425 | Aishah Naomi Khursheed | Counselor | 727 J Clyde Blvd, Ste A, Newport News, VA 23602 | 2020-04-21 |
| 1962069526 | Boss Inner Child Counseling, LLC | Clinic/Center | 14203 Old Courthouse Way, Suite B, Newport News, VA 23602 | 2019-05-20 |
| 1922598572 | Manoj Chawla | Internal Medicine | 1000 Old Denbigh Blvd # 1020a, Newport News, VA 23602 | 2018-05-18 |
| 1750896999 | Alexandra Paige Jones | Behavioral Analyst | 12727 Mcmanus Blvd., Newport News, VA 23602 | 2017-12-11 |
| 1457712556 | Mary Ellen Lynch | Registered Nurse | American Addiction Treatment Center, 12695 Mcmanus Blvd, Bdg 2, Newport News, VA 23602 | 2016-03-16 |
| 1790159481 | Megan Ashley Burkart Schmidt | Registered Nurse | 903 Kinsale Cres, Newport News, VA 23602 | 2015-11-18 |
| 1962870733 | Natalie Marie Bradshaw-smith | Nurse Practitioner | 401 Oyster Point Rd Ste A, Newport News, VA 23602 | 2015-09-09 |
| 1477953578 | Jonathan Edwards | Pathology | Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 | 2014-08-26 |
| 1588063663 | Cathy G Cooke | Psychologist | 12695 Mcmanus Blvd. Bldg #8, Newport News, VA 23602 | 2014-08-14 |
| 1538576764 | John Michael Sullivan | Psychologist | One Old Oyster Point Road, Newport News, VA 23602 | 2014-07-21 |
| Find all providers in zip 23602 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407107386 | Renee Winston Dial | Physician Assistant | 11803 Jefferson Ave Ste 140, Newport News, VA 23606-4390 | 2012-10-02 |
| 1104397330 | Taylor Brooke Rawls | Physician Assistant | 500 J Clyde Morris Blvd, Newport News, VA 23601 | 2018-12-16 |
| 1063931822 | Jillian T Hall | Physician Assistant | 12200 Warwick Blvd Ste 410, Newport News, VA 23601-2548 | 2017-09-13 |
| 1922554351 | Jenalee Nicole Shields | Physician Assistant | 704 Thimble Shoals Blvd, Suite 200, Newport News, VA 23606-4544 | 2016-08-26 |
| 1073979902 | Stewart James Norman | Physician Assistant | 500 J Clyde Morris Blvd, Newport News, VA 23601-1929 | 2016-01-07 |
| 1811370869 | Philip Gurecki | Physician Assistant | 704 Thimble Shoals Blvd, Suite 700, Newport News, VA 23606-4544 | 2015-07-08 |
| 1700172897 | Darlene Elise Knight | Physician Assistant | 12200 Warwick Blvd, Suite 110, Newport News, VA 23601-2344 | 2011-06-27 |
| 1669773297 | Caitlin Kufahl | Physician Assistant | 13347 Warwick Blvd, Newport News, VA 23602-5601 | 2010-11-12 |
| 1033427588 | Andrea Marie Edwards | Physician Assistant | 1051 Loftis Blvd, Suite 100, Newport News, VA 23606-3069 | 2010-09-17 |
| 1831401694 | Brittany Erin Fields | Physician Assistant | 101 Philip Roth St, Suite 5a, Newport News, VA 23606-1393 | 2010-07-09 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23602 |
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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.