MS. AMANDA HOLLERAN


Address: 1175 E Mountain Blvd, Wilkes Barre, PA 18702-7906
Phone: 5708081093

MS. AMANDA HOLLERAN (NPI# 1417375981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417375981
Entity Type Individual
Full Name MS. AMANDA HOLLERAN
Other Name AMANDA MOYER
Credential M.D.
Practice Address 1175 E Mountain Blvd
Wilkes Barre
PA 18702-7906
Mailing Address 100 N Academy Ave
Danville
PA 17822-4903
Practice Telephone 5708081093
Mailing Telephone 5702716144
Mailing Fax Number 5702716578
Enumeration Date 2014-04-02
Last Update Date 2020-09-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0004X Orthopaedic Surgery
Specialization: Foot and Ankle Surgery
MD470840 PA Allopathic & Osteopathic Physicians
N 207XX0004X Orthopaedic Surgery
Specialization: Foot and Ankle Surgery
BF4323200B29 VT Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
11 Colchester Ct # 222wp2, Burlington, VT 054011525 8028472700

Office Location

Street Address 1175 E MOUNTAIN BLVD
City WILKES BARRE
State PA
Zip Code 18702-7906

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104812239 Anthony J Balsamo Orthopaedic Surgery 1175 E Mountain Blvd, Wilkes Barre, PA 18702-7906 2005-09-23
1467060756 Laura Brady Physician Assistant 1175 E Mountain Blvd, Wilkes Barre, PA 18702-7906 2020-07-22
1558993006 Christine Ann Myers Specialist/Technologist 1175 E Mountain Blvd, Wilkes Barre, PA 18702-7906 2020-02-12
1528603370 Tan Chen Orthopaedic Surgery 1175 E Mountain Blvd, Wilkes Barre, PA 18702-7906 2019-11-14
1285276139 Evonna Ackourey Orthopaedic Surgery 1175 E Mountain Blvd, Wilkes Barre, PA 18702-7906 2019-10-11
1790330876 Michael Kendra Physician Assistant 1175 E Mountain Blvd, Wilkes Barre, PA 18702-7906 2019-08-06
1770090334 Kierstin Nicole Hughes Physician Assistant 1175 E Mountain Blvd, Wilkes Barre, PA 18702-7906 2018-01-04
1528573722 Angela Janine Reese Physical Therapist 1175 E Mountain Blvd, Wilkes Barre, PA 18702-7906 2017-12-11
1780199067 Pamela Ann Ceol Physical Therapy Assistant 1175 E Mountain Blvd, Wilkes Barre, PA 18702-7906 2017-12-07
1598216822 Brandon Philip Lombardo Physician Assistant 1175 E Mountain Blvd, Wilkes Barre, PA 18702-7906 2016-10-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477153161 Joann Bonn Pharmacist 441 Wilkes-barre Township Blvd, Wilkes-barre, PA 18702 2020-10-30
1689213167 Megan Grace Zanghi Pharmacist 58-60 Public Square, 4th Floor, Wilkes-barre, PA 18702 2019-12-31
1467013292 Kelly Rose Sones Pharmacist 58/60 Public Square, Wilkes-barre, PA 18702 2019-06-24
1528520186 Adam Olivetti Pharmacist 58-60 Public Square, Wilkes-barre, PA 18702 2019-04-03
1295220648 Dental Associates of Nepa PC Dentist 360 Kidder Street, Suite 5, Wilkes Barre, PA 18702 2018-06-28
1568983245 Bio-medical Applications of Pennsylavania, Inc. Clinic/Center 309 Laird St, Wilkes-barre, PA 18702 2017-07-03
1538615166 Elsa Gates Nurse Practitioner 100 East Mountain Blvd, Geisinger, Wilkes Barre, PA 18702 2016-09-01
1972990455 Epeople Health Care Inc. Home Health 1092 Route 315, Ste 3, Wilkes Barre, PA 18702 2015-04-22
1063819001 Visionworks, Inc. Eyewear Supplier (Equipment, not the service) 277 Mundy St, Suite 101, Wilkes Barre, PA 18702 2014-11-19
1356764013 Jill Stacchiotti Speech-Language Pathologist 2 Salem Drive, Laflin, PA 18702 2014-01-30
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Taxonomy Information

Taxonomy Code 207XX0004X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Foot and Ankle Surgery

Taxonomy Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063066959 Lauren Olivia Buchma Orthopaedic Surgery 30 Hope Drive Bldg B Suite 2400, Hershey, PA 17033-2036 2019-07-29
1154557908 Orthopaedic Associates of Allentown Orthopaedic Surgery 341 E Bertsch St, Lansford, PA 18232-2111 2009-06-08
1710406103 Eliezer Sidon Orthopaedic Surgery 1015 Chestnut St Ste 801, Philadelphia, PA 19107-4308 2017-09-17
1821409632 Alan C Stuto Orthopaedic Surgery 1250 S Cedar Crest Blvd Ste 110, Allentown, PA 18103 2014-05-14
1649535048 Umur Aydogan Orthopaedic Surgery 500 University Dr, Hershey, PA 17033-2360 2012-07-11
1841553278 James Robert Lachman Orthopaedic Surgery 1534 Park Ave, Quakertown, PA 18951-1084 2012-06-20
1740507185 Rachel Shakked Orthopaedic Surgery 2400 Maryland Rd, Suite 20, Willow Grove, PA 19090-1700 2010-04-26
1578790853 George Chloros Orthopaedic Surgery 1307 Federal St Ste 2, Pittsburgh, PA 15212-4769 2009-06-15
1609012368 Jennifer H Fortenberry Orthopaedic Surgery 2401 Park Dr Ste 101, Harrisburg, PA 17110-9303 2008-12-31
1043470586 Clinical Health Care Associates of New Jersey, PC Orthopaedic Surgery 230 W Washington Sq, 5th Floor, Philadelphia, PA 19106-3500 2008-06-09
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Competitor

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City WILKES BARRE
Zip Code 18702

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Dataset Information

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.

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