TAYLOR HOLLOWAY (NPI# 1164052700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164052700 |
| Entity Type | Individual |
| Full Name | TAYLOR HOLLOWAY |
| Practice Address |
57950 Leavenworth St Bldg 250 Mcconnell Afb KS 67221-3505 |
| Mailing Address |
2603 South Ln Mountain Brk AL 35223-1131 |
| Practice Telephone | 3167595052 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | F01200860 | AL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376517 | Taylor Holloway | Counselor | 200 N Emerald Ln Ste 3, Carbondale, IL 62901-2170 | 2020-11-06 |
| Street Address |
57950 LEAVENWORTH ST BLDG 250 |
| City | MCCONNELL AFB |
| State | KS |
| Zip Code | 67221-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255569612 | Janice Renee Faught | Military Health Care Provider | 57950 Leavenworth St Bldg 250, Mcconnell Afb, KS 67221-3506 | 2009-06-24 |
| 1114467289 | Zachary William Schurch | Dentist | 57950 Leavenworth St Bldg 250, Mcconnell Afb, KS 67221-3506 | 2017-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922528421 | Rose Lee Samples | Nurse Practitioner | 51950 Leavenworth St., Family Health Clinic 22 Mdg, Mcconnell Afb, KS 67221 | 2017-06-26 |
| 1114247913 | Dawn Marie Clifton | Nurse Practitioner | 57950 Leavenworth Ave Bldg 250, 22d Medical Group, Mcconnell Afb, KS 67221 | 2010-06-03 |
| 1467514489 | 22nd Medical Group | Pharmacy | 57590 Leavenworth Bldg 250, Mcconnell Afb, KS 67221 | 2006-12-15 |
| 1336182153 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | Derby Street, Building 352, Mcconnell Afb, KS 67221 | 2006-06-13 |
| 1578919049 | Kathryn Rachel Kocher | Pediatrics | 57950 Leavenworth St, Mcconnell Afb, KS 67221 | 2016-05-13 |
| 1962707067 | Melissa M Wendt | Physician Assistant | 57950 Leavenworth St Ste 4e1, Mcconnell Afb, KS 67221 | 2011-01-20 |
| 1922232271 | Richard Jimenez Rubi | Military Health Care Provider | 22 Mdg, Mcconnell Afb, KS 67221 | 2009-05-14 |
| 1871581306 | Joshua A Hartman | Emergency Medicine | 57950 Leavenworth St Bldg 248, Mcconnell Afb, KS 67221-3505 | 2005-10-10 |
| 1184242604 | Lindsey Allison Cunningham | Dentist | 57950 Leavenworth St, Wichita, KS 67221-3505 | 2020-07-10 |
| 1407296940 | Daniel Richard Galle | Optometrist | 57950 Leavenworth St Ste 4e1, Mcconnell Afb, KS 67221-3505 | 2013-06-28 |
| Find all providers in zip 67221 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831431527 | Norma Alicia Villarreal | Family Medicine | 22d Medical Group, 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2013-03-20 |
| 1194712828 | Everett J Deleon | Family Medicine | 57950 Leavenworth St, Attn Credentials Manager, Mcconnell Afb, KS 67221-3506 | 2005-09-27 |
| 1326130089 | Kent Taylor Broberg | Family Medicine | 57950 Leavenworth St, Mcconnell Afb, KS 67221-3506 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370892 | River City Osteopathic Clinic | Family Medicine | 401 E 1st St, Wichita, KS 67202-2501 | 2020-09-14 |
| 1396357166 | Spira Care, LLC | Family Medicine | 7341 W 133rd St, Overland Park, KS 66213-4750 | 2020-08-21 |
| 1902428840 | County of Logan | Family Medicine | 1001 Highway 40 Ste 4, Oakley, KS 67748-6061 | 2020-05-14 |
| 1285253492 | Lawrence Physicians LLC | Family Medicine | 3211 S Iowa St Ste 100, Lawrence, KS 66046-5205 | 2020-04-09 |
| 1164052973 | Theory Health Kansas LLC | Family Medicine | 10000 Marshall Dr, Lenexa, KS 66215-1244 | 2020-01-21 |
| 1477108603 | Laurie Irene Haury | Family Medicine | 818 N Emporia St Ste 107, Wichita, KS 67214-3725 | 2019-08-05 |
| 1477107878 | Lawrence Physicians LLC | Family Medicine | 2001 Haskell Ave Ste A, Lawrence, KS 66046-3249 | 2019-07-25 |
| 1104484773 | Lawrence Physicians LLC | Family Medicine | 1130 W 4th St Ste 1015, Lawrence, KS 66044-1328 | 2019-05-30 |
| 1265900286 | Kansas Wellness Associates LLC | Family Medicine | 4300 W 133rd Street, Suite 200, Leawood, KS 66209 | 2018-11-07 |
| 1043794373 | Rajwinder Kaur | Family Medicine | 540 E Santa Fe St Ste E, Olathe, KS 66061-3400 | 2018-09-22 |
| Find all providers with the same taxonomy | ||||
| City | MCCONNELL AFB |
| Zip Code | 67221 |
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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.