NICOLE MARLENE HOLLIDAY (NPI# 1164603759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164603759 |
| Entity Type | Individual |
| Full Name | NICOLE MARLENE HOLLIDAY |
| Credential | D.O. |
| Practice Address |
147 Gettys St Gettysburg PA 17325-2534 |
| Mailing Address |
1803 Mount Rose Ave Suite B3 York PA 17403-3026 |
| Practice Telephone | 7173374216 |
| Practice Fax Number | 7173374249 |
| Mailing Telephone | 7178511405 |
| Mailing Fax Number | 7173374249 |
| Enumeration Date | 2007-11-25 |
| Last Update Date | 2016-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | OS015219 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102482298 | 05 | |
| PA | UNITED HEALTHCARE COMM PLAN-YH | 311595 | 01 |
| PA | GATEWAY-WMG | 1589518 | 01 |
| PA | HIGHMARK BLUE SHIELD-WMG | 2511942 | 01 |
| PA | UPMC-WMG | 415244 | 01 |
| PA | AMERIHEALTH MERCY-WMG | 30080144 | 01 |
| PA | UNISON-WMG | 310452 | 01 |
| PA | AMERIHEALTH MERCY-WMG | 30077871 | 01 |
| Street Address |
147 GETTYS ST |
| City | GETTYSBURG |
| State | PA |
| Zip Code | 17325-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891791711 | Gettysburg Hospital - Wellspan | Ambulance | 147 Gettys St, Gettysburg, PA 17325-2534 | 2005-06-24 |
| 1508466236 | Shandra Laughman | Nurse Practitioner | 147 Gettys St, Gettysburg, PA 17325-2534 | 2020-10-30 |
| 1366049751 | Angela D Blain | Nurse Practitioner | 147 Gettys St, Gettysburg, PA 17325-2534 | 2020-10-08 |
| 1265059026 | Daniel J Julian | Dietitian, Registered | 147 Gettys St, Gettysburg, PA 17325-2534 | 2020-06-28 |
| 1548744394 | Barbara Lynn Taylor | Nurse Practitioner | 147 Gettys St, Gettysburg, PA 17325-2534 | 2018-09-18 |
| 1366955684 | Mandy Weikert | Registered Nurse | 147 Gettys St, Gettysburg, PA 17325-2534 | 2017-11-08 |
| 1528595436 | Tyler Mummert | Emergency Medicine | 147 Gettys St, Gettysburg, PA 17325-2534 | 2017-05-23 |
| 1568998243 | Keegan Skidmore | Emergency Medicine | 147 Gettys St, Gettysburg, PA 17325-2534 | 2017-05-02 |
| 1902344807 | Jaydeep Kachhela | Hospitalist | 147 Gettys St, Gettysburg, PA 17325-2534 | 2017-02-10 |
| 1972048726 | Anthony J. Gudoski | Nurse Practitioner | 147 Gettys St, Gettysburg, PA 17325-2534 | 2017-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684059 | Health Care Center LLC | Clinic/Center | 16e Hanover Street, Hanover St, Gettysburg, PA 17325 | 2020-03-16 |
| 1578039574 | Cpmoptometry LLC | Point of Service | Walmart Vision, 3271 Pa 940, Mt Pocono, PA 17325 | 2018-10-17 |
| 1306353933 | Hayley Michelle Kidd | Physical Therapist | 237 Savannah Dr, Gettysburg, PA 17325 | 2018-01-04 |
| 1700247582 | Renee Lehman LLC | Physical Therapist | 249 B York Street, Gettysburg, PA 17325 | 2016-03-08 |
| 1245664820 | Kera Joan Provost | Pharmacist | 40 V-twin Drive, Suite 107, Gettysburg, PA 17325 | 2013-08-30 |
| 1790922524 | Shannon Shutika | Physical Therapist | 867 York Road, Gettysburg, PA 17325 | 2009-01-15 |
| 1245489988 | Edward Mitchell O'brien | Acupuncturist | 2311 Fairfield Rd., Suite E, Gettysburg, PA 17325 | 2008-09-18 |
| 1184882011 | The Gettysburg Hospital-short Procedure | Clinic/Center | 450 South Washington St, Suite A, Gettysburg, PA 17325 | 2008-05-28 |
| 1619196227 | Susquehanna Optical Inc | Eyewear Supplier (Equipment, not the service) | 506 W. Middle St., Gettysburg, PA 17325 | 2007-04-24 |
| 1164542437 | John Martin Fidler | Prosthetic/Orthotic Supplier | 26 Baltimore St, Gettysburg, PA 17325 | 2007-03-30 |
| Find all providers in zip 17325 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699018390 | Marsha Lewis | Emergency Medicine | 455 S. Washington St., Suite 22, Wellspan Health, Gettysburg Hospital Emergency Medicine, Gettysburg, PA 17325-2534 | 2013-04-01 |
| 1902164841 | Christopher Spewock | Emergency Medicine | Po Box 3786, Gettysburg, PA 17325-0786 | 2012-04-29 |
| 1912946294 | Stefan P Rosenbach | Emergency Medicine | 147 Gettys Street, Gettysburg, PA 17325 | 2006-06-05 |
| 1528595436 | Tyler Mummert | Emergency Medicine | 147 Gettys St, Gettysburg, PA 17325-2534 | 2017-05-23 |
| 1568998243 | Keegan Skidmore | Emergency Medicine | 147 Gettys St, Gettysburg, PA 17325-2534 | 2017-05-02 |
| 1851779771 | Kellyn Malloy | Emergency Medicine | 147 Gettys St, Gettysburg, PA 17325-2534 | 2015-05-12 |
| 1770997207 | Ryan Joseph Mcfague | Emergency Medicine | 147 Gettys St, Gettysburg, PA 17325-2534 | 2014-06-12 |
| 1528358256 | Tanner Jefferson Van Dell | Emergency Medicine | 147 Gettys St, Gettysburg, PA 17325-2534 | 2011-04-14 |
| 1700044591 | Lawrence James Ronald Goldhahn | Emergency Medicine | 147 Gettys St, Gettysburg, PA 17325-2534 | 2008-05-28 |
| 1700068756 | Christian Bannerman | Emergency Medicine | 147 Gettys St, Gettysburg, PA 17325-2534 | 2007-12-01 |
| Find all providers in GETTYSBURG | ||||
| City | GETTYSBURG |
| Zip Code | 17325 |
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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.