DR. BENJAMIN DANIEL HOLLAND (NPI# 1164841201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164841201 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN DANIEL HOLLAND |
| Credential | D.O. |
| Practice Address |
500 Fisher Street Keesler Mc Emergency Dept Dpo AE 39534 |
| Mailing Address |
500 Fisher Street Keesler Mc Emergency Dept Biloxi MS 39534 |
| Practice Telephone | 2283760500 |
| Mailing Telephone | (228) 376-0500 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 25059 | MS | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3525 Southern Blvd, Kettering, OH 454291221 | 9373958839 | 9373958387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316335821 | Benjamin P Holland | Counselor | 403 W Cherry Ln, Meridian, ID 83642-1610 | 2015-01-06 |
| 1508206327 | Benjamin Charles Holland | Family Medicine | 777 N Raymond St, Boise, ID 83704-9251 | 2013-06-25 |
| 1871715482 | Benjamin H Holland | Internal Medicine | 1199 Prince Ave, Msb 2nd Floor, Athens, GA 30606-2797 | 2007-05-03 |
| Street Address |
500 FISHER STREET KEESLER MC EMERGENCY DEPT |
| City | DPO |
| State | AE |
| Zip Code | 39534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316568918 | Hanna Chang | Student in an Organized Health Care Education/Training Program | 81 Msgs/gme (keesler Afb), 301 Fisher St, Rm 5a127, Biloxi, MS 39534 | 2020-05-05 |
| 1720617079 | Briana Polk | Student in an Organized Health Care Education/Training Program | Keesler Air Force Base, 301 Fisher Street, Biloxi, MS 39534 | 2020-04-07 |
| 1437718756 | Marquise Westbrook | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 | 2019-06-11 |
| 1124682729 | Joseph Paul Cervone | Student in an Organized Health Care Education/Training Program | 81 Mdss/gme 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 | 2019-04-29 |
| 1083120851 | Kaitlin May Gruenberg | Student in an Organized Health Care Education/Training Program | 81 Msgs/gme, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2017-12-15 |
| 1760912513 | Michael Zipper | Military Health Care Provider | 301 Fisher St, Rm 5a127, 81msgs/sgcq, Keesler Afb, MS 39534 | 2017-06-14 |
| 1184073181 | 81msgs/sgcq | General Acute Care Hospital | 81msgs/sgcq, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-09 |
| 1174972772 | Usaf 81st Medical Group | Military Hospital | 81msgs/sgcq 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-06 |
| 1548644677 | Jim Li | Dentist | 81st Medical Group, Keesler Afb, Apo, AA 39534 | 2015-07-18 |
| 1245610872 | Zachary Austin Masters | Surgery | 301 Fisher Street, Rm 5a127, Keesler Air Force Base, MS 39534 | 2015-06-09 |
| Find all providers in zip 39534 | ||||
| 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 |
|---|---|---|---|---|
| 1104900224 | Peter Jon Benson | Emergency Medicine | Hq Soceur, Unit 30400, Apo, AE 09131 | 2006-10-25 |
| 1962597062 | Tara Jean Zieber | Emergency Medicine | Psc 819 Box 18 #194, Fpo, AE 09645 | 2006-10-04 |
| 1528031986 | Guillermo Alberto Navarro | Emergency Medicine | Psc 819 Box 4488, Fpo, AE 09645-0045 | 2006-02-08 |
| 1548230618 | Michael Heinz Danenberg | Emergency Medicine | Psc 836 Box 0362, Fpo, AE 09636-0362 | 2006-01-23 |
| 1952387417 | Peter Gael Woodson | Emergency Medicine | Us Naval Hospital, Naples, Psc 827 Box 72, Fpo, AE 09617 | 2005-12-16 |
| 1922081140 | Rebecca Lucas | Emergency Medicine | Psc 827 Box 78, Apo, AE 09617-0078 | 2005-11-22 |
| 1659751295 | Branden Hunsaker | Emergency Medicine | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461 | 2015-06-08 |
| 1881039923 | Alexander Kirkpatrick | Emergency Medicine | Raf Lakenheath 48 Mdg/sghc, Unit 5115, Apo, AE 09461-5115 | 2013-05-02 |
| 1831463496 | James R Hartline | Emergency Medicine | Cmr 402, Apo, AE 09180 | 2012-02-29 |
| 1346496486 | Elizabeth Anne Buckalew | Emergency Medicine | Psc 836, Fpo, AE 09636-9998 | 2008-08-08 |
| Find all providers with the same taxonomy | ||||
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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.