DR. CHRISTOPHER TIMOTHY HOLLEY (NPI# 1801113964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801113964 |
Entity Type | Individual |
Full Name | DR. CHRISTOPHER TIMOTHY HOLLEY |
Credential | M.D. |
Practice Address |
6500 Excelsior Blvd St Louis Park MN 55426-4702 |
Practice Telephone | 9529933246 |
Mailing Telephone | 9529933246 |
Enumeration Date | 2010-04-29 |
Last Update Date | 2020-07-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 55916 | MN | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
420 Delware St Se, Mmc 207, Minneapolis, MN 554550341 | 6126251400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497896633 | Christopher D. Holley | Social Worker | 41 North Main Street, Family Resource and Development Center LLC Suite 303, Hartford, CT 06107 | 2007-02-09 |
1649396581 | Christopher M. Holley | Physical Therapist | 121 Everett Rd, Albany, NY 12205-1474 | 2007-03-22 |
1033246764 | Christopher L Holley | Internal Medicine | 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110-1003 | 2007-02-28 |
Street Address |
6500 EXCELSIOR BLVD |
City | ST LOUIS PARK |
State | MN |
Zip Code | 55426-4702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861484669 | Robert E Haselow | Radiology | 6500 Excelsior Blvd, Methodist Radiation Therapy, St Louis Park, MN 55426-4702 | 2005-08-17 |
1215549381 | Katelyn Boys | Physical Therapist | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2020-08-20 |
1386253466 | Christine Harlander | Physical Therapist | 6500 Excelsior Blvd, St Louis Park, MN 55426-4700 | 2020-07-24 |
1063021210 | Ian-thomas Campbell-groen | Physical Therapist | 6500 Excelsior Blvd, St Louis Park, MN 55426-4700 | 2020-07-23 |
1619585387 | Kelly Faber | Physical Therapist | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2020-07-20 |
1952938821 | Paige Rygg | Physical Therapist | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2020-03-23 |
1801427406 | Brandi Jo St. Mane | Nurse Anesthetist, Certified Registered | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2020-02-01 |
1811528680 | Brian Servey IIi | Nurse Anesthetist, Certified Registered | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2020-01-30 |
1245873421 | Weston Poucher | Nurse Anesthetist, Certified Registered | 6500 Excelsior Blvd, St Louis Park, MN 55426-4700 | 2019-10-21 |
1427609973 | Lauren Damrow | Registered Nurse | 6500 Excelsior Blvd, St Louis Park, MN 55426-4700 | 2019-09-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
Find all providers in zip 55426 |
Taxonomy Code | 208G00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942563366 | Ramoncito A David | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2012-06-20 |
1306822374 | Bernard Harrison | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2005-12-21 |
1831174382 | Peter E Dyrud | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | 2005-12-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174893275 | Albert Mowlem | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1980 County Road B W, Saint Paul, MN 55113-5447 | 2012-01-05 |
1962729327 | Eric Patrick Anderson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 910 E 26th St Ste 100-200, Minneapolis, MN 55404 | 2010-04-26 |
1700048766 | Richard Noel Smith | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 31646 County Road 1, La Crescent, MN 55947-4226 | 2008-06-30 |
1750579694 | John R Liddicoat | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7601 Northland Dr N, Minneapolis, MN 55428-4500 | 2007-10-04 |
1821288929 | Judah A Askew | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 920 E 28th St Ste 400, Minneapolis, MN 55407-1286 | 2007-07-26 |
1609991207 | Kalyan C. Vunnamadala | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 920 E 1st St Ste 303, Duluth, MN 55805-2225 | 2007-03-20 |
1205977634 | Bassam N. Shukrallah | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 800 E 28th St Ste 400, Minneapolis, MN 55407 | 2007-02-09 |
1275549784 | John F Grehan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 225 N Smith Ave, #100a, St Paul, MN 55102 | 2006-08-01 |
1427011352 | Vibhu R Kshettry | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 920 E 28th St Ste 610, Minneapolis, MN 55407-1190 | 2006-04-11 |
1205896750 | Timothy J Kroshus | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 640 Jackson St - Mc 11503k, Healthpartners Regions Specialty Clinics, St. Paul, MN 55101-2502 | 2006-03-27 |
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City | ST LOUIS PARK |
Zip Code | 55426 |
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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.