MICHELLE MARIE HOLLOWAY (NPI# 1235166364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235166364 |
Entity Type | Individual |
Full Name | MICHELLE MARIE HOLLOWAY |
Other Name | MICHELLE MARIE WARE |
Credential | MD |
Practice Address |
2129 Sw 59th Street Oklahoma City OK 73159-7024 |
Mailing Address |
1000 N Lee Ave Behavioral Medicine Oklahoma City OK 73102-1036 |
Practice Telephone | 4052726391 |
Practice Fax Number | 4057134859 |
Mailing Telephone | 4052726216 |
Mailing Fax Number | 4052726927 |
Enumeration Date | 2006-06-26 |
Last Update Date | 2013-11-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
18507 | OK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100168700A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508495961 | Michelle Holloway | Physical Therapy Assistant | 308 W Wind Ln, Spring City, TN 37381-5780 | 2020-04-07 |
1235756214 | Michelle N Holloway | Counselor | 1895 Brightseat Rd, Landover, MD 20785-4250 | 2020-06-25 |
1265080329 | Michelle Margaret Holloway | Occupational Therapist | 100 Thomas Run Rd, Bel Air, MD 21015-1616 | 2019-08-30 |
1740742907 | Michelle Corpuz Holloway | Behavior Technician | 713 W Commonwealth Ave Ste C, Fullerton, CA 92832-1612 | 2019-04-04 |
1316265325 | Michelle Maria Holloway | Counselor | 1401 S 4th St, Philadelphia, PA 19147-5948 | 2010-05-14 |
Street Address |
2129 SW 59TH STREET |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73159-7024 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194916940 | Rexanne Proctor | Registered Nurse | 2129 Sw 59th Street, St Anthony South, Oklahoma City, OK 73119 | 2007-08-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346849528 | Mel Vision LLC | Optometrist | 1413 W Interstate 240 Service Rd, Suite E, Oklahoma City, OK 73159 | 2020-10-20 |
1053959247 | Phillip J Elassal Dds Pllc | Clinic/Center | 1601 Sw 89th Street #g500, Oklahoma City, OK 73159 | 2019-12-18 |
1629573407 | Carrie Lynn Sanchez | Case Manager/Care Coordinator | 2604 Sw 92nd Street, Oklahoma City, OK 73159 | 2018-03-26 |
1407368038 | Deborah Dorton | Psychologist | Okc Va Hcs (111a), 921 Ne 13th St, Oklahoma City, OK 73159 | 2017-11-06 |
1366969933 | Matthew Lewis Hearne | Case Manager/Care Coordinator | 7504 S Country Club Dr, Apt 105, Oklahoma City, OK 73159 | 2017-08-24 |
1043766405 | Pro Hearing, LLC | Clinic/Center | 10404 S Pennsylvania Ave, Oklahoma City, OK 73159 | 2016-08-26 |
1952764169 | Doc LLC | Orthopaedic Surgery | 3130 Sw 89th St Ste 200e, Oklahoma City, OK 73159 | 2016-04-04 |
1235511288 | Anusha Koneru | Dentist | 1610 W Interstate 240 Service Road, Oklahoma City, OK 73159 | 2015-06-26 |
1114347069 | Crystal A Dockery | Family Medicine | 3212 Sw 89th St Ste 100, Oklahoma City, OK 73159 | 2014-04-18 |
1790121440 | Kimberly Anne Dyer | Occupational Therapy Assistant | 5725 S Ross, Oklahoma City, OK 73159 | 2013-05-21 |
Find all providers in zip 73159 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366427478 | Robyn Cowperthwaite | Psychiatry & Neurology | 4200 W Memorial Rd Ste 503, Oklahoma City, OK 73120-8305 | 2005-12-12 |
1033103304 | Ethan D Lindsey | Psychiatry & Neurology | 1117 Nw 50th St, Oklahoma City, OK 73118-4401 | 2005-09-01 |
1487967717 | Geetika Mehrishi Verma | Psychiatry & Neurology | 5100 N Brookline Ave, Suite 900, Oklahoma City, OK 73112-3623 | 2010-07-15 |
1609012699 | David Calenzani Md PC | Psychiatry & Neurology | 4200 W Memorial Rd, Suite # 804, Oklahoma City, OK 73120-9350 | 2008-12-23 |
1114132230 | Betsy Ann Shadid | Psychiatry & Neurology | 13820 Wireless Way, Oklahoma City, OK 73134-2501 | 2007-05-11 |
1902939903 | Linda K Ramer Md PC | Psychiatry & Neurology | 1117 Nw 50th St, Oklahoma City, OK 73118-4401 | 2007-03-13 |
1013049170 | Ethan D Lindsey Md PC | Psychiatry & Neurology | 1117 Nw 50th St, Oklahoma City, OK 73118-4401 | 2007-03-12 |
1831228170 | Swapna N. Deshpande | Psychiatry & Neurology | 940 Ne 13th St, 3b 3406, Oklahoma City, OK 73104-5008 | 2007-03-04 |
1235174293 | Brent Dewaide Bell | Psychiatry & Neurology | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2006-06-16 |
1598733842 | Anne E Cuccio | Psychiatry & Neurology | 920 Stanton L Young Blvd, Wp3240, Oklahoma City, OK 73104-5020 | 2006-03-12 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73159 |
Please comment or provide details below to improve the information on MICHELLE MARIE HOLLOWAY.
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.