JONATHAN HOLLOWAY (NPI# 1710272547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710272547 |
| Entity Type | Individual |
| Full Name | JONATHAN HOLLOWAY |
| Practice Address |
4441 Del Mar Ave San Diego CA 92107-3618 |
| Practice Telephone | 6199806210 |
| Practice Fax Number | 6199806210 |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2015-12-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 138053 | CA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | ME120754 | FL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | TRN15976 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 012371500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588217681 | Jonathan Casey Holloway | Home Health | 314 Regency Ridge Dr, Dayton, OH 45459-4251 | 2019-07-18 |
| 1760089841 | Jonathan Holloway | Registered Nurse | 1 Lower Navy Hill, Saipan, MP 96950 | 2020-10-02 |
| Street Address |
4441 DEL MAR AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92107-3618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497111322 | Amanda Malicki | Occupational Therapist | 1567 Ocean Front St, San Diego, CA 92107 | 2016-01-07 |
| 1841689031 | Shari Houser | Marriage & Family Therapist | 1969 Sunset Cliffs Blvd, San Diego, CA 92107 | 2015-01-12 |
| 1740627868 | Marie Catherine Dumas | Psychologist | 3863 Coronado Ave, San Diego, CA 92107 | 2013-05-30 |
| 1386914422 | South Bay Internal Medicine and Family Practice | Non-Pharmacy Dispensing Site | 374 H Street, 202, San Diego, CA 92107 | 2012-01-06 |
| 1396023982 | Brooke Michelle Nielsen | Marriage & Family Therapist | 312 S. Cedros Ave. Ste 334, Ste. 304, Solana Beach, CA 92107 | 2011-07-29 |
| 1871890889 | Elizabeth Cantori | Occupational Therapist | 1865 1/2 Ebers St, San Diego, CA 92107 | 2011-02-28 |
| 1861716482 | Dina Chalom | Physical Therapist | 4833 Pescadero Ave Apt 3, San Diego, CA 92107 | 2010-03-25 |
| 1265762983 | David A. Schein | Psychiatry & Neurology | 4517 Newport Avenue, San Diego, CA 92107 | 2009-12-31 |
| 1184836215 | County of San Diego, Aging & Independance Services | Community/Behavioral Health | 4858 Del Mar Ave, San Diego, CA 92107 | 2007-05-03 |
| 1063535813 | James Wilson Jones | Dentist | 1499 Sunset Cliffs Blvd, San Diego, CA 92107 | 2007-04-09 |
| Find all providers in zip 92107 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962947317 | Mark Olcott, M.d., Inc. | Emergency Medicine | 3609 Lotus Dr, San Diego, CA 92106-1136 | 2016-12-21 |
| 1578941019 | Trisha Morshed | Emergency Medicine | 200 W Arbor Dr Mc867, San Diego, CA 92103 | 2015-05-18 |
| 1770995789 | Lindsey Ball | Emergency Medicine | 4647 Zion Ave Ste 1116, San Diego, CA 92120-2507 | 2014-05-24 |
| 1679910558 | Jeffrey Steven Kurz | Emergency Medicine | 3545 Reynard Way, San Diego, CA 92103-3808 | 2013-05-31 |
| 1265876981 | Alexis Lenz | Emergency Medicine | Ucsd 200 W Arbor Dr, Mc8676, San Diego, CA 92103 | 2013-04-24 |
| 1376881078 | Diane Kopeika Gottschalk | Emergency Medicine | 10221 Wateridge Cir, San Diego, CA 92121-2702 | 2013-01-30 |
| 1598000507 | Julie Watkins-torry | Emergency Medicine | 200 W Arbor Dr # Mc8819, San Diego, CA 92103-1911 | 2012-12-02 |
| 1417212739 | Rodney Sidransky | Emergency Medicine | 7841 Balboa Ave, Suite 202, San Diego, CA 92111-2311 | 2012-07-12 |
| 1598044117 | Charlotte Anne Sadler | Emergency Medicine | 200 W Arbor Dr # 8925, San Diego, CA 92103-1911 | 2011-08-12 |
| 1003103235 | Sarah Wilkinson | Emergency Medicine | 200 W Arbor Dr # 8819, San Diego, CA 92103-1911 | 2011-07-08 |
| Find all providers in SAN DIEGO | ||||
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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.