DR. JOSEPH EUGENE HOLLEY JR. (NPI# 1952342586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952342586 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH EUGENE HOLLEY JR. |
| Credential | MD |
| Practice Address |
275 Island Village Dr Memphis TN 38103-9028 |
| Mailing Address |
Po Box 40434 Memphis TN 38174-0434 |
| Practice Telephone | 9014935374 |
| Mailing Telephone | 9014935374 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2014-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 11045 | MS | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 19758 | TN | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 019758 | TN | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 11045 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 154941002 | 05 | |
| MS | 00017398 | 05 | |
| TN | BLUE CROSS | 4081932 | 01 |
| TN | 3046356 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184077208 | Joseph C Holley | Nurse Practitioner | 1105 Eagletree Ln Sw, Huntsville, AL 35801-6447 | 2016-07-14 |
| Street Address |
275 ISLAND VILLAGE DR |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38103-9028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
| 1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
| 1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
| 1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
| 1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
| 1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
| 1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
| 1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
| Find all providers in zip 38103 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942609045 | Midsouth Neuropathy Treatment Center | General Practice | 1052 Brookfield Rd, Suite 101, Memphis, TN 38119-3860 | 2014-08-14 |
| 1528488699 | Sheg Oluwaseun Aranmolate | General Practice | 1926 Foster Ave, Memphis, TN 38114-2003 | 2014-04-16 |
| 1538588827 | Chs Tennessee Medical, P.C. | General Practice | 4740 Burbank Rd, Memphis, TN 38118-6301 | 2014-04-15 |
| 1629493424 | Maximum Health and Wellness LLC | General Practice | 6094 Apple Tree Dr, Suite 6, Memphis, TN 38115-0308 | 2014-03-03 |
| 1497064653 | Wellness Evaluation Services, Inc | General Practice | 1061 W Rex Rd, Memphis, TN 38119-3819 | 2010-10-05 |
| 1861719445 | Total Heatlh Care | General Practice | 4299 Elvis Presley B;vd., Memphis, TN 38116-6435 | 2010-04-22 |
| 1508038910 | F Chin, Inc | General Practice | 5347 Dunnellon Ave, Memphis, TN 38134-5305 | 2008-03-25 |
| 1295863488 | Daniel P Marshall | General Practice | 515 N Highland St, Memphis, TN 38122-4572 | 2007-03-01 |
| 1891842696 | John Goodfred | General Practice | 3965 S Mendenhall Rd Ste 6, Memphis, TN 38115-5914 | 2007-01-04 |
| 1013004324 | Mark L Reed | General Practice | 3789 Covington Pike, Memphis, TN 38135-2279 | 2006-10-06 |
| Find all providers in MEMPHIS | ||||
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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.