BRENT KEITH HOLLIMAN (NPI# 1447297296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447297296 |
| Entity Type | Individual |
| Full Name | BRENT KEITH HOLLIMAN |
| Credential | PA-C |
| Practice Address |
4345 W Memorial Rd Suite 200 Oklahoma City OK 73134-1702 |
| Practice Telephone | 4059365814 |
| Practice Fax Number | 4059365810 |
| Mailing Telephone | 4059365814 |
| Mailing Fax Number | 4059365810 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2013-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA636 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4345 W MEMORIAL RD SUITE 200 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73134-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992706048 | Elizabeth A Wickersham | Family Medicine | 4345 W Memorial Rd, Suite 110, Oklahoma City, OK 73134-1702 | 2005-08-10 |
| 1912396193 | Emily Geurin Mclain | Physician Assistant | 4345 W Memorial Rd, Suite 110, Oklahoma City, OK 73134-1702 | 2015-01-12 |
| 1710284849 | Rachel D Garrison | Nurse Practitioner | 4345 W Memorial Rd, Suite 200, Oklahoma City, OK 73134-1702 | 2011-02-25 |
| 1992033500 | Mercy Care LLC | Clinic/Center | 4345 W Memorial Rd, Ste 110, Oklahoma City, OK 73134-1702 | 2009-11-20 |
| 1881829455 | Kimberly Hummer | Internal Medicine | 4345 W Memorial Rd, Suite 110, Oklahoma City, OK 73134-1702 | 2009-05-26 |
| 1356361380 | Roger E. Smith Jr. | Internal Medicine | 4345 W Memorial Rd, Suite 110, Oklahoma City, OK 73134-1702 | 2006-07-20 |
| 1073504684 | Muneer Ahmad Khan | Internal Medicine | 4345 W Memorial Rd, Suite 110, Oklahoma City, OK 73134-1702 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841846474 | Designs In Dentistry | Dentist | 14810 Serenita Ave, Oklahoma City, OK 73134 | 2019-08-09 |
| 1538683248 | Amber N Rettke | Case Manager/Care Coordinator | 14900 N. Pennsylvania Ave Apt. 1423, Oklahoma City, OK 73134 | 2017-08-03 |
| 1043750755 | Nikki Jo Rios | Behavioral Analyst | 14828 Serenita Avenue, Oklahoma City, OK 73134 | 2017-02-28 |
| 1285092437 | Christina Almstrom Whelan | Psychologist | 14616 Fossil Creek Lane, Oklahoma City, OK 73134 | 2016-02-03 |
| 1881003614 | Amber D. Given | Counselor | 14001 Mcauley Blvd. Suite 240, Oklahoma City, OK 73134 | 2014-08-06 |
| 1114365483 | Chester Arthur Woods IIi | Student in an Organized Health Care Education/Training Program | 14548 North Pennsylvania Ave, Oklahoma City, OK 73134 | 2013-06-10 |
| 1700123916 | Laura Jane Holsey | Surgery | 3543 West Memorial Road, Holsey Cosmetic Surgery & Spa, Oklahoma City, OK 73134 | 2013-01-08 |
| 1023354842 | Amattco LLC | Clinic/Center | 3705 West Memorial Rd Suite 601, Oklahoma City, OK 73134 | 2012-12-26 |
| 1740531698 | Oklahoma Sports and Orthopedics Institute Pllc | Orthopaedic Surgery | 13401 N. Western. Ave., Ste. 301, Oklahoma City, OK 73134 | 2012-10-01 |
| 1003167503 | Lindsey Brockie | Technician, Other | 14828 Serenita Ave, Oklahoma City, OK 73134 | 2012-09-24 |
| Find all providers in zip 73134 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517168 | Madeleine Hill | Physician Assistant | 5304 N Hudson Ave, Oklahoma City, OK 73118-6232 | 2020-10-28 |
| 1003414673 | Stephanie Ann Stephens | Physician Assistant | 5021 Eric Dr, Oklahoma City, OK 73135-4129 | 2020-10-15 |
| 1336786557 | Chad Tiaden | Physician Assistant | 940 Ne 13th St Ste 2300, Oklahoma City, OK 73104-5008 | 2019-12-06 |
| 1588209837 | Kathryn Lynn Lane | Physician Assistant | 737 Sw 157th St, Oklahoma City, OK 73170-7688 | 2019-11-11 |
| 1760025845 | Robert Eugene Curling | Physician Assistant | 3435 Nw 56th St Ste 909, Oklahoma City, OK 73112-4400 | 2019-10-22 |
| 1740831486 | Aliina Ann O'toole | Physician Assistant | 1200 Childrens Ave Ste 8305, Oklahoma City, OK 73104-4637 | 2019-09-24 |
| 1093375271 | Alison Suezan Barton | Physician Assistant | 13401 N Western Ave Ste 210, Oklahoma City, OK 73114-1410 | 2019-06-19 |
| 1376100750 | Katelyn Taylor Bant | Physician Assistant | 6001 S Sooner Rd, Ste A, Oklahoma City, OK 73135-5601 | 2019-05-21 |
| 1538726997 | Mariah Paige Melton | Physician Assistant | 4400 Hemingway Dr Apt 251, Oklahoma City, OK 73118-2241 | 2019-05-21 |
| 1336703123 | Soni Simer | Physician Assistant | 11601 Kingswick Dr, Oklahoma City, OK 73162-2918 | 2019-04-26 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73134 |
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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.