TIFFANY K HOLLOWAY (NPI# 1649591843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649591843 |
| Entity Type | Individual |
| Full Name | TIFFANY K HOLLOWAY |
| Credential | CCP |
| Practice Address |
7602 Callon Ave Weston WI 54476-3213 |
| Practice Telephone | 7153931252 |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2010-06-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 242T00000X | Perfusionist | 99-018 | WI | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871064691 | Tiffany Holloway | Behavior Technician | 12432 Bellflower Blvd, Downey, CA 90242-2806 | 2018-12-06 |
| 1447761747 | Tiffany Holloway | Occupational Therapist | 4907 Nw 43rd St Ste C, Gainesville, FL 32606-2007 | 2017-10-13 |
| Street Address |
7602 CALLON AVE |
| City | WESTON |
| State | WI |
| Zip Code | 54476-3213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406309 | Kelly Hodge | Technician | 118 Marguerite St, Schofield, WI 54476 | 2019-09-13 |
| 1427557529 | Brandon David Parmer | Licensed Practical Nurse | 134 Kurth St, Schofield, WI 54476 | 2018-02-05 |
| 1558880583 | Kellie Cares Medical, LLC | Non-emergency Medical Transport (VAN) | 4311 Schofield Ave, #97, Weston, WI 54476 | 2017-09-11 |
| 1679018022 | Alexis Legenza | Behavioral Analyst | 4601 Camp Phillips Rd, Weston, WI 54476 | 2016-12-21 |
| 1699176487 | Reenu Mathew | Pharmacist | 5305 U.S. Hwy Business 51, Weston, WI 54476 | 2014-09-11 |
| 1063812246 | Brian Weiland | Psychologist | 2405 Schofield Ave Ste 220, Weston, WI 54476 | 2014-08-25 |
| 1194087759 | Susan C Coady | Physical Therapist | 4605 Valres Springs Court, Weston, WI 54476 | 2012-06-11 |
| 1053437467 | Emmie Jo Kasat | Speech-Language Pathologist | 4605 Valdres Springs Court, Weston, WI 54476 | 2007-03-21 |
| 1326181322 | Lisa Marie Skutak | Dentist | 700 Eagle Nest Boulevard, Suite E, Rothschild, WI 54476 | 2007-02-15 |
| 1205976776 | Quirt Family Dentistry Sc | Dentist | 3417 Schofield Avenue, Schofield, WI 54476 | 2007-02-07 |
| Find all providers in zip 54476 | ||||
| Taxonomy Code | 242T00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Perfusionist |
| A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
| Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843135 | Joseph Michael Check | Perfusionist | W276n587 Arrowhead Trl, Waukesha, WI 53188-1909 | 2020-08-28 |
| 1578198461 | Brett Wagner | Perfusionist | 8701 W Watertown Plank Rd Fl Hub5, Milwaukee, WI 53226-3548 | 2020-03-11 |
| 1194350991 | Warren Anderson | Perfusionist | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2020-03-12 |
| 1669012027 | Andjelka Potkonjak | Perfusionist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-01-13 |
| 1871132993 | Flavio Cavallari | Perfusionist | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-01-06 |
| 1205472651 | Brian Jacob Temperley | Perfusionist | 2500 Overlook Ter, Madison, WI 53705-2254 | 2019-11-20 |
| 1467921809 | Marguerite Wellstein | Perfusionist | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2018-11-15 |
| 1730680596 | Nicholas Larue | Perfusionist | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2018-02-26 |
| 1013444629 | Nicholas Starkey | Perfusionist | 9200 W. Wisconsin Avenue, Mcw - Division of Cardiothoracic Surgery, Wauwautosa, WI 53226 | 2017-05-12 |
| 1982137253 | Benjamin Buckoski | Perfusionist | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2017-04-04 |
| 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.