HOLLOWAY GROUP INC (NPI# 1497848147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497848147 |
| Entity Type | Organization |
| Organization Name | HOLLOWAY GROUP INC |
| Practice Address |
6613 N. Meridian Avenue Oklahoma City OK 73116 |
| Practice Telephone | 4056038450 |
| Practice Fax Number | 4056038455 |
| Mailing Telephone | 4056038450 |
| Mailing Fax Number | 4056038455 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2013-05-24 |
| Authorized Official Name | WILLIS HOLLOWAY, JR (OWNER/PRESIDENT) |
| Authorized Official Telephone | 4056038450 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200036310A | 05 |
| Street Address |
6613 N. MERIDIAN AVENUE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1861058877 | Dental Depot of 63rd & Nw Expressway, Pllc | Clinic/Center | 4025 Nw 63rd Street, Oklahoma City, OK 73116 | 2019-05-15 |
| 1073001756 | Oklahoma Clinical Management LLC | Prevention Professional | 4301 Nw 63rd St Ste 107, Oklahoma City, OK 73116 | 2018-04-27 |
| 1235658261 | Heinen Physical Therapy, PC | Clinic/Center | 7710 N May Ave, Oklahoma City, OK 73116 | 2017-09-11 |
| 1235657842 | Jacque S Komers | Counselor | 6501 N Broadway Ext Suite 180, Oklahoma City, OK 73116 | 2017-09-04 |
| 1164943874 | Jo Ann Cole-johnson | Counselor | 6505 N. Shawnee Ave, Oklahoma, OK 73116 | 2017-07-03 |
| 1548790793 | Zachary Wayne Skates | Case Manager/Care Coordinator | North 6501 Broadway Extention Highway #180, Oklahoma City, OK 73116 | 2017-06-19 |
| 1548622673 | Jessica Defiore | Case Manager/Care Coordinator | 6501 N Broadway Extension, Oklahoma City, OK 73116 | 2016-03-28 |
| 1093173247 | Patrice Ann Cook | Specialist/Technologist, Other | 7700 N. Hudson Ave, Suite Number 9, Oklahoma City, OK 73116 | 2016-02-03 |
| 1467880708 | Abrina Marie Kneeland | Occupational Therapy Assistant | 6525 N. Meridian #311, Therapists Unlimited Division of Career Staff, Oklahoma City, OK 73116 | 2013-10-24 |
| Find all providers in zip 73116 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871110478 | Noor Mahmoud | Psychiatry & Neurology | 825 Ne 10th St Ste 5200, Oklahoma City, OK 73104-5417 | 2020-06-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1295229268 | Veronica Astrid Moreno Gomez | Psychiatry & Neurology | 920 Stanton L Young Blvd Ste Wp-2040, Oklahoma City, OK 73104-5036 | 2018-06-21 |
| 1033632716 | Sergio Ramirez | Psychiatry & Neurology | 920 Staton L. Young Blvd., Suite Wp-2040, Oklahoma City, OK 73104 | 2017-07-25 |
| 1407376890 | Temitope Ayodeji Lawal | Psychiatry & Neurology | 920 Stanton L Young Blvd # W2040, Oklahoma City, OK 73104-5036 | 2017-06-26 |
| 1932637030 | Marina Aleksandrovna Kravtsova | Psychiatry & Neurology | 920 Stanton L Young Blvd Ste Wp2040, Oklahoma City, OK 73104-5036 | 2017-06-01 |
| 1508256165 | George Alexander Curry II | Psychiatry & Neurology | 9615 Prosper Dr, Oklahoma City, OK 73151-8801 | 2015-02-03 |
| 1740524719 | Fahd Sultan | Psychiatry & Neurology | 920 Stanton L Young Blvd Ste 2040, Oklahoma City, OK 73104-5036 | 2012-11-15 |
| 1538410006 | Bhrugav G Raval | Psychiatry & Neurology | 825 Ne 10th St Ste 5b, Oklahoma City, OK 73104 | 2012-09-25 |
| 1295013738 | Karan Poddar | Psychiatry & Neurology | 920 Sl Young Boulevard, Oklahoma City, OK 73104 | 2011-08-02 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73116 |
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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.