FRED JAMIE W HOLLAND II MD PC (NPI# 1053407023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053407023 |
| Entity Type | Organization |
| Organization Name | FRED JAMIE W HOLLAND II MD PC |
| Other Organization Name | CARDIOTHORACIC AND VASCULAR SURGERY |
| Practice Address |
2314 Sassafras St Suite 305 Erie PA 16502-2722 |
| Mailing Address |
3530 Peach St Suite Ll1 Erie PA 16508-2768 |
| Practice Telephone | 8144569197 |
| Practice Fax Number | 8144552765 |
| Mailing Telephone | 8148605000 |
| Mailing Fax Number | 8148605050 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAMIE HOLLAND (CEO) |
| Authorized Official Telephone | 8144569197 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1014522940002 | 05 |
| Other Name | Type Code |
|---|---|
| Cardiothoracic and Vascular Surgery | Doing Business As Name - Organization |
| Street Address |
2314 SASSAFRAS ST SUITE 305 |
| City | ERIE |
| State | PA |
| Zip Code | 16502-2722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508840190 | Dorothy Candib | Internal Medicine | 2314 Sassafras St, Suite 200, Erie, PA 16502-2722 | 2005-12-06 |
| 1720492358 | Bobbie Brotherson | Emergency Medicine | 2314 Sassafras St, 3rd Floor, Erie, PA 16502-2722 | 2014-06-11 |
| 1689087306 | Hisham Abusamhadana | Family Medicine | 2314 Sassafras St, 3rd Floor, Erie, PA 16502-2722 | 2014-06-10 |
| 1225470107 | Mobile Medical Unit | Family Medicine | 2314 Sassafras St, 200, Erie, PA 16502-2722 | 2013-07-22 |
| 1205273059 | Annie Thu Hang Nguyen | Family Medicine | 2314 Sassafras St, 2nd Floor, Erie, PA 16502-2722 | 2013-06-03 |
| 1164771077 | Priyanka Chadha | Family Medicine | 2314 Sassafras St, 2nd Floor, Erie, PA 16502-2722 | 2012-09-06 |
| 1891058632 | Klara Anna Roman | Family Medicine | 2314 Sassafras St, 2nd Floor, Erie, PA 16502-2722 | 2012-06-18 |
| 1134480445 | Dawn Elizabeth Karns | Family Medicine | 2314 Sassafras St, 2nd Floor, Erie, PA 16502-2722 | 2012-06-04 |
| 1417218769 | Jason Blair Crofts | Emergency Medicine | 2314 Sassafras St, 2nd Floor, Erie, PA 16502-2722 | 2012-06-04 |
| 1275894537 | Christopher John Karns | Emergency Medicine | 2314 Sassafras St, 2nd Floor, Erie, PA 16502-2722 | 2012-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679064794 | Fernando Torres | Specialist/Technologist | 549 1/2 W 7th St, Erie, PA 16502 | 2018-05-24 |
| 1548782907 | Michael Wayne Hankins Jr. | Podiatrist | 5515 Peach Street, Erie, PA 16502 | 2017-07-07 |
| 1730609041 | Michael Greg Palmer | Family Medicine | 311 West 24th Street 4th Floor, Erie, PA 16502 | 2017-06-27 |
| 1245658723 | Amy Adamus | Licensed Practical Nurse | 1647 Sassafras Street, Erie, PA 16502 | 2014-04-02 |
| 1295011088 | Margaret Gay Wardd | Licensed Practical Nurse | 1757 West 23 Street, Erie, PA 16502 | 2011-10-25 |
| 1659510782 | Kristen Kathleen Curry | Social Worker | 329 W. 10th St., Erie, PA 16502 | 2009-02-12 |
| 1699928416 | Kelly Cathleen Kelly-zazado | Social Worker | 301 W. 10th St., Lake Erie Counseling, Inc, Erie, PA 16502 | 2008-10-23 |
| 1922149350 | Wei-lung Sam Wu | Internal Medicine | Saint Vincent Professional Building, 311 West 24 Street, Suite 402, Erie, PA 16502 | 2007-02-09 |
| 1003970146 | Claire Donch | Psychologist | 301 West 10th Street, Erie, PA 16502 | 2006-12-21 |
| 1730703117 | Vincent Viet Ngo | Family Medicine | 311 West 24th Street, 4th Floor, Erie, PA 16502 | 2020-06-02 |
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| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285605915 | Aron T Goldberg | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2315 Myrtle St Ste 160, Erie, PA 16502-4602 | 2006-01-31 |
| 1043533755 | Neha Bandaru Reddy | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 120 E 2nd St Fl 4, Erie, PA 16507 | 2010-03-09 |
| 1639301336 | Rony Atoui | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2315 Myrtle St, Suite 160, Erie, PA 16502-4602 | 2009-08-13 |
| 1457515546 | Regional Health Services, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 120 East 2nd Street, 4th Floor, Erie, PA 16507-1537 | 2008-07-17 |
| 1811154867 | Thomas David Person | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2315 Myrtle St Ste 160, Erie, PA 16502-4602 | 2008-05-19 |
| 1700082633 | Prabhaker Sardesai | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 410 Cranberry St, Suite 120, Erie, PA 16507-1067 | 2007-06-26 |
| 1154536407 | Ahmet Tayfun Gurbuz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 120 East 2nd Street, Hamot Flagship Cvts, Erie, PA 16507-1577 | 2007-05-11 |
| 1679612071 | Stephen C Myers | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2315 Myrtle St Ste 160, Erie, PA 16502-4602 | 2007-02-05 |
| 1942245386 | Walter Enrico Rizzoni | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 120 E 2nd St, 4th Floor, Erie, PA 16507-1537 | 2006-06-19 |
| 1114975984 | Mark L Marbey | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2315 Myrtle St, Suite 160, Erie, PA 16502-4602 | 2006-05-04 |
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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.