CLINTON T HOLLADAY (NPI# 1659321529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659321529 |
| Entity Type | Individual |
| Full Name | CLINTON T HOLLADAY |
| Credential | MD |
| Practice Address |
701 Princeton Ave Sw Birmingham AL 35211-1303 |
| Mailing Address |
2000a Southbridge Pkwy Ste 300 Birmingham AL 35209-7718 |
| Practice Telephone | 2057833000 |
| Practice Fax Number | 2058714301 |
| Mailing Telephone | 2058714274 |
| Mailing Fax Number | 2058714301 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2015-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
00027196 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009935488 | 05 | |
| AL | 009936292 | 05 | |
| AL | BLUE CROSS | 511-65663 | 01 |
| AL | 009936291 | 05 | |
| AL | BLUE CROSS | 515-33331 | 01 |
| AL | 009936293 | 05 | |
| AL | BLUE CROSS | 515-33333 | 01 |
| AL | RRMC | P00338341 | 01 |
| Street Address |
701 PRINCETON AVE SW |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35211-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043215239 | Ricardo Bracer | Radiology | 701 Princeton Ave Sw, Birmingham, AL 35211-1303 | 2005-06-15 |
| 1750980611 | Rebecca Gander | Nurse Practitioner | 701 Princeton Ave Sw, Birmingham, AL 35211-1303 | 2020-10-21 |
| 1649879552 | Sarah Morgan Mcdaniel | Physician Assistant | 701 Princeton Ave Sw, Birmingham, AL 35211-1303 | 2020-10-21 |
| 1942816228 | Morgan-elizabeth Lousie Coleman | Registered Nurse | 701 Princeton Ave Sw, Birmingham, AL 35211-1303 | 2020-09-22 |
| 1750996823 | Mary Curtis Estis | Registered Nurse | 701 Princeton Ave Sw, Birmingham, AL 35211-1303 | 2020-09-15 |
| 1396353280 | Anesthesiologists Associated PC | Anesthesiology | 701 Princeton Ave Sw, Birmingham, AL 35211-1303 | 2020-07-17 |
| 1780202176 | Taylor Nix | Nurse Anesthetist, Certified Registered | 701 Princeton Ave Sw, Birmingham, AL 35211-1303 | 2020-07-11 |
| 1952928814 | Ashley Hicks | Occupational Therapist | 701 Princeton Ave Sw, Birmingham, AL 35211-1303 | 2020-06-26 |
| 1437771409 | Jami Lyn Gay Smith | Nurse Anesthetist, Certified Registered | 701 Princeton Ave Sw, Birmingham, AL 35211-1303 | 2020-05-13 |
| 1497374995 | Maria Elizabeth Hatcher | Registered Nurse | 701 Princeton Ave Sw, Birmingham, AL 35211-1303 | 2020-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216123 | Tara Brown | Technician | 2007 Goldwire Trce, Birmington, AL 35211 | 2020-08-19 |
| 1477173318 | Jeffrey D. Cooney | Student in an Organized Health Care Education/Training Program | 833 Princeton Avenue Sw, Professional Office Bldg 3, Suite 200-e, Birmingham, AL 35211 | 2020-04-21 |
| 1982253852 | Josephine Cook | Technician | 1255 18th St Sw, Birmingham, AL 35211 | 2019-09-04 |
| 1154882322 | Stephen Jenkins | Registered Nurse | 701 Princeton Ave. Sw, Birmingham, AL 35211 | 2019-03-28 |
| 1780107052 | Negar Massah | Dentist | 2850 Venice Rd, Apt 1135, Birmingham, AL 35211 | 2017-07-19 |
| 1417075342 | Joseph Edward Mcjunkin | Pharmacist | 1308-tuscaloosa Ave.sw, Birmingham, AL 35211 | 2007-03-27 |
| 1669500880 | Prakash Chand Kansal | Internal Medicine | 801 Princeton Avenue, Pob 1, Suite 332., Birmingham, AL 35211 | 2007-03-01 |
| 1588717284 | Laquinta Johnson | Occupational Therapist | 420 10th St Sw, Birmingham, AL 35211 | 2007-01-18 |
| 1174613160 | Praveen Jetty | Psychiatry & Neurology | 401 Tuscaloosa Ave. S.w., Suite 110, Birmingham, AL 35211 | 2006-10-13 |
| 1326134180 | Yahya M Sabri | Obstetrics & Gynecology | 801 Princton Ave, Prof Office Bldg I Suite 332, Birmingham, AL 35211 | 2006-10-05 |
| Find all providers in zip 35211 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013407675 | Alabama Radiation Therapy Services | Radiology | 3670 Grandview Pkwy #100, Birmingham, AL 35243 | 2018-05-18 |
| 1578940029 | Robert Spencer Kirkland | Radiology | 44 Medical Park Dr E, Birmingham, AL 35235-3401 | 2015-05-05 |
| 1376749143 | Brian Anthony Bates | Radiology | 1308 Bowman Rd, Birmingham, AL 35235-2511 | 2007-06-26 |
| 1215963103 | John D Glover | Radiology | 810 St Vincent Drive, Birmingham, AL 35205 | 2006-06-23 |
| 1952344566 | Jennifer F De Los Santos | Radiology | 3670 Grandview Pkwy # 100, Birmingham, AL 35243-3326 | 2006-06-13 |
| 1376594192 | Birmingham Radiological Group PC | Radiology | 2000a Southbridge Pkwy, Ste 300, Birmingham, AL 35209-7704 | 2006-05-15 |
| 1700355294 | Salter Radiation Oncology Consultants LLC | Radiology | 2728 10th Ave S Ste 100, Birmingham, AL 35205-1202 | 2018-11-14 |
| 1013444967 | Gina Elizabeth Rebesco | Radiology | 625 19th St S, Birmingham, AL 35233-1900 | 2017-05-22 |
| 1245610914 | William Henry Ennis | Radiology | 3670 Grandview Pkwy # 100, Birmingham, AL 35243-3326 | 2015-06-08 |
| 1679918940 | Adam Julian Kole | Radiology | 619 19th St S, Birmingham, AL 35249-1900 | 2013-05-01 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35211 |
Please comment or provide details below to improve the information on CLINTON T HOLLADAY.
| 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.