DR. RICHARD JAMES HOLLOWAY (NPI# 1801152210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801152210 |
| Entity Type | Individual |
| Full Name | DR. RICHARD JAMES HOLLOWAY |
| Credential | MD |
| Practice Address |
18799 Arapaho Ln South Bend IN 46637 |
| Practice Telephone | 5742724643 |
| Mailing Telephone | 5742724643 |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 0102976A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215988043 | Richard L Holloway | Marriage & Family Therapist | 1000 N 92nd St, Clinics At Curative, Milwaukee, WI 53226-3533 | 2006-05-15 |
| 1942754635 | Richard Dawson Holloway IIi | Nurse Practitioner | 1068 Cresthaven Rd, Memphis, TN 38119-0800 | 2016-08-10 |
| 1326120668 | Richard M Holloway | Specialist | 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 | 2006-10-19 |
| Street Address |
18799 ARAPAHO LN |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851715155 | Rachel Cundiff | Pharmacist | 52482 Sr 933 N, South Bend, IN 46637 | 2014-02-07 |
| 1821427857 | Hancock Regional Hospital | Skilled Nursing Facility | 52565 Sr 933, South Bend, IN 46637 | 2013-11-12 |
| 1437587854 | Triple L Associates | Durable Medical Equipment & Medical Supplies | 227 Dixie Way North, Suite 110, South Bend, IN 46637 | 2013-10-22 |
| 1104251479 | Tao Bai | Pharmacist | 52482 State Rd 933, South Bend, IN 46637 | 2013-09-05 |
| 1255613618 | Angela Taylor | Pharmacist | 52482 St Rd 933 N, South Bend, IN 46637 | 2011-09-12 |
| 1831345248 | Cherlyn Po | Occupational Therapist | 52654 N Ironwood Rd, South Bend, IN 46637 | 2008-08-18 |
| 1164599304 | Decatur County Memorial Hospital | Alzheimer Center (Dementia Center) | 18325 Bailey Ave, South Bend, IN 46637 | 2006-11-30 |
| 1831572478 | Patrick Kelly | Occupational Therapy Assistant | 52565 Sr 933, South Bend, IN 46637 | 2015-07-01 |
| 1083262992 | Francesca E Udoh | Nurse Practitioner | 51875 Whitestable Ln, South Bend, IN 46637-1371 | 2019-09-04 |
| 1699719955 | Hook Superx LLC | Durable Medical Equipment & Medical Supplies | 51467 State Road 933, South Bend, IN 46637-1617 | 2006-06-16 |
| Find all providers in zip 46637 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639467517 | Roger William Jump IIi | Urology | 6301 University Commons, Suite 350, South Bend, IN 46635-1571 | 2011-07-13 |
| 1649505645 | Allied Physicians of Michiana, LLC | Urology | 6301 University Commons, Suite 350, South Bend, IN 46635-1571 | 2009-10-08 |
| 1063438117 | Urology Associates of South Bend, PC | Urology | 707 Cedar St, Suite #450, South Bend, IN 46617-2054 | 2006-07-14 |
| 1689627812 | Beacon Medical Group | Urology | 100 Navarre Pl, Suite 4400, South Bend, IN 46601-1156 | 2006-05-18 |
| 1871562975 | Jeffrey C Cooper | Urology | 211 N Eddy St, South Bend, IN 46617-2808 | 2006-03-14 |
| 1902880107 | Mark Ernest Toth | Urology | 100 Navarre Pl, Ste. 4400, South Bend, IN 46601-1156 | 2005-12-01 |
| 1831194919 | John Anthony Hudak | Urology | 6301 University Commons, Ste 350, South Bend, IN 46635-1571 | 2005-06-16 |
| 1548265622 | Arthur Philip Depauw | Urology | 6301 University Commons, Ste 350, South Bend, IN 46635-1571 | 2005-06-16 |
| 1427053511 | William Henry Stonehill | Urology | 6301 University Commons, Ste 350, South Bend, IN 46635-1571 | 2005-06-16 |
| 1811992803 | Kathleen Marie Delnay | Urology | 6301 University Commons, Ste 350, South Bend, IN 46635-1571 | 2005-06-16 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46637 |
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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.