DR. JODIE SUSAN HOLLOWAY (NPI# 1992921688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992921688 |
| Entity Type | Individual |
| Full Name | DR. JODIE SUSAN HOLLOWAY |
| Credential | M.D. |
| Practice Address |
112 Random Oaks Ln Mandeville LA 70448-4565 |
| Practice Telephone | 9856740988 |
| Practice Fax Number | 9856745308 |
| Mailing Telephone | 9856740988 |
| Mailing Fax Number | 9856745308 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | 019557 | LA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1932744 | 05 |
| Street Address |
112 RANDOM OAKS LN |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70448-4565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962035964 | Tyler Trenton Wansley | Nurse Practitioner | 23515 Us-190, Mandeville, LA 70448 | 2020-02-18 |
| 1346712957 | Start Corporation | Clinic/Center | 23251 South Robin Road, Mandeville, LA 70448 | 2018-12-20 |
| 1952870362 | Oh Project-lafayette | Community/Behavioral Health | 23515 Us 190, Northlake Academy Building, Mandeville, LA 70448 | 2018-11-14 |
| 1083113187 | Amanda Stokes Barker | Occupational Therapist | 1903 University Dr, Mandeville, LA 70448 | 2018-02-05 |
| 1629594544 | Ochsner Clinic LLC | Internal Medicine | 3235 E Causeway Approach, Mandeville, LA 70448 | 2017-08-22 |
| 1831628288 | Katherine Lea Gristina | Speech-Language Pathologist | 307 Copal Street, Mandeville, LA 70448 | 2017-06-08 |
| 1154779551 | Jonathan Ferguson | Specialist/Technologist | 26301 La-1088, Mandeville, LA 70448 | 2016-05-26 |
| 1568821874 | Raymond Wallace IIi | Licensed Vocational Nurse | 23861 South Robin Rd, Mandeville, LA 70448 | 2016-02-15 |
| 1548629140 | Martha Miller | Clinical Nurse Specialist | 400 Mariner's Blvd, Mandeville, LA 70448 | 2016-02-11 |
| 1023483435 | Tina Marie Catalano | Licensed Practical Nurse | 23861 South Robin Road, Mandeville, LA 70448 | 2015-12-10 |
| Find all providers in zip 70448 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154668697 | Alvaro Tynes Hunt | Legal Medicine | 302 Citrus Rd, River Ridge, LA 70123-2043 | 2013-01-03 |
| 1184979189 | Kenneth L. Wiley, LLC | Legal Medicine | 3308 Tulane Ave Ste 200, New Orleans, LA 70119-7100 | 2012-07-17 |
| 1679870349 | River Ridge Chiropractic | Legal Medicine | 9523 Jefferson Hwy, River Ridge, LA 70123-2523 | 2011-02-16 |
| 1780904219 | Rachel E Oehlke-dendy | Legal Medicine | 16507 Paint Ave, Greenwell Springs, LA 70739-5822 | 2010-06-07 |
| 1699098491 | Eunice Family Practice, L.L.C. | Legal Medicine | 3521 Highway 190 Suite P, Eunice, LA 70535 | 2010-03-08 |
| 1750513859 | Kent Andrew Hickey | Legal Medicine | 4417 Newlands St, Metairie, LA 70006-4135 | 2009-08-23 |
| 1760629687 | Suzanne Parke | Legal Medicine | 3814 Veterans Blvd., Metairie, LA 70002 | 2009-01-14 |
| 1003005752 | Kirk E. Elliott, M.d., LLC | Legal Medicine | Dr Kirk Elliot, 410 Olive St., Arnaudville, LA 70512-0187 | 2007-10-18 |
| 1295924942 | Paul M. Rees M.d., Apmc | Legal Medicine | 410 Olive St Dr. Paul M. Rees Md Apmc, Arnaudville, LA 70512-0187 | 2007-10-18 |
| 1760602411 | Segundo G Roncal | Legal Medicine | 105 N Third St, Dodson, LA 71422-3871 | 2007-04-26 |
| Find all providers with the same taxonomy | ||||
| City | MANDEVILLE |
| Zip Code | 70448 |
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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.