Shane Eugene Holloway (NPI# 1043319940, PAC ID# 6002812195) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SURGICAL ONCOLOGY.
| Nation Provider ID (NPI) | 1043319940 |
| PAC ID by PECOS | 6002812195 |
| Professional Enrollment ID | I20080620000509 |
| Full Name | Shane Eugene Holloway |
| Organization Legal Name | BSA PHYSICIANS GROUP INC |
| Address |
6 Medical Dr Amarillo TX 79106-4136 |
| Phone Number | 8062126604 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | SURGICAL ONCOLOGY |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 3971748146 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450231 | BAPTIST ST ANTHONY'S HOSPITAL |
| 450875 | PHYSICIANS SURGICAL HOSPITAL AT QUAIL CREEK |
| Address | Phone | Organization |
|---|---|---|
| 6 Medical Dr, Amarillo, TX 79106-4136 | 8062126604 | BSA PHYSICIANS GROUP INC |
| Organization Legal Name | BSA PHYSICIANS GROUP INC |
| Physicians | 74 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Ayala | Nurse Practitioner | Bsa Physicians Group Inc | 6611 W Amarillo Blvd, Bsa Cardiothoracic Surgery, Amarillo, TX 79106-1755 |
| Kevin D Fleming | Nurse Practitioner | Bsa Physicians Group Inc | 4510 Bell St, Amarillo, TX 79109-5714 |
| Mark C Drew | General Practice | Bsa Physicians Group Inc | 1000 S Coulter St, Bsa Advanced Wound Care Clinic, Amarillo, TX 79106-1781 |
| Stephanie M Alvarado | Nurse Practitioner | Bsa Physicians Group Inc | 1600 Wallace Blvd, Baptist St Anthonys Hospitalists, Amarillo, TX 79106-1799 |
| Lowell G Rollins Iii | Hospitalist | Bsa Physicians Group Inc | 1600 Wallace Blvd, Baptist St Anthonys Hospitalists, Amarillo, TX 79106-1799 |
| Erica Griffin Wheat | General Surgery | Bsa Physicians Group Inc | 6 Medical Dr, Amarillo, TX 79106-4136 |
| Julie K Hampton | Nurse Practitioner | Bsa Physicians Group Inc | 6 Medical Dr, Amarillo, TX 79106-4136 |
| Anuradha S Gopalachar | Internal Medicine | Bsa Physicians Group Inc | 4510 Bell St, Amarillo, TX 79109-5714 |
| John P Mckinley | General Surgery | Bsa Physicians Group Inc | 6 Medical Dr, Amarillo, TX 79106-4136 |
| Ira L Thomas Iv | Hospitalist | Bsa Physicians Group Inc | 1600 Wallace Blvd, Baptist St Anthonys Hospitalists, Amarillo, TX 79106-1799 |
| Street Address |
6 MEDICAL DR |
| City | AMARILLO |
| State | TX |
| Zip | 79106-4136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erica Griffin Wheat | General Surgery | Bsa Physicians Group Inc | 6 Medical Dr, Amarillo, TX 79106-4136 |
| Julie K Hampton | Nurse Practitioner | Bsa Physicians Group Inc | 6 Medical Dr, Amarillo, TX 79106-4136 |
| John P Mckinley | General Surgery | Bsa Physicians Group Inc | 6 Medical Dr, Amarillo, TX 79106-4136 |
| Samuel Kirkendall | General Surgery | Bsa Physicians Group Inc | 6 Medical Dr, Amarillo, TX 79106-4136 |
| Brett Dolgin | Dermatology | Peter A Klein, Md, Faad, PC | 6 Medical Dr, Suite D, Port Jefferson Station, NY 11776-1594 |
| David C Langley | Interventional Radiology | Bsa Physicians Group Inc | 6 Medical Dr, Amarillo, TX 79106-4136 |
| Michael A Lary | General Surgery | Bsa Physicians Group Inc | 6 Medical Dr, Amarillo, TX 79106-4136 |
| Chance L Irwin | Vascular Surgery | Bsa Physicians Group Inc | 6 Medical Dr, Amarillo, TX 79106-4136 |
| Vanita Srivastava | Dermatology | Peter A Klein, Md, Faad, PC | 6 Medical Dr, Suite D, Port Jefferson Station, NY 11776-1594 |
| Christopher T Kolze | General Surgery | Bsa Physicians Group Inc | 6 Medical Dr, Amarillo, TX 79106-4136 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mindy L Unrau | Nurse Practitioner | Amarillo Medical Specialists LLP | 1215 Coulter St, Suite 400, Amarillo, TX 79106 |
| Aubrey L Smith | Orthopedic Surgery | 1600 Coulter, Bldg B, Amarillo, TX 79106 | |
| Mustafa Hussain | Psychiatry | 6900 I-40, Suite 285, Amarillo, TX 79106 | |
| Lorina Leanne Wilhelm | Nurse Practitioner | Amarillo Medical Specialists LLP | 1215 Coulter St, Amarillo, TX 79106 |
| Robert E Jackson Iii | Nuclear Medicine | Amarillo Medical Specialists LLP | 1215 Coulter St, Suite 400, Amarillo, TX 79106 |
| Allegra Kinzer | Nurse Practitioner | Amarillo Medical Specialists LLP | 1215 Coulter St, Suite 400, Amarillo, TX 79106 |
| Leonard E Dodson | Endocrinology | Amarillo Medical Specialists LLP | 1215 Coulter St, Suite 400, Amarillo, TX 79106 |
| Michael O Lagrone | Orthopedic Surgery | 1600 S Coulter St B, Amarillo, TX 79106-0703 | |
| Chad M Kennedy | Orthopedic Surgery | 1600 S Coulter, Building B, Amarillo, TX 79106-0703 | |
| Ronald T Morgan | Orthopedic Surgery | Thane Morgan, M.d.p.a. | 1600 S Coulter, Building B, Amarillo, TX 79106-0703 |
| Find all physicians in zip 79106 | |||
| City | AMARILLO |
| Zip Code | 79106 |
| Specialty | SURGICAL ONCOLOGY |
| City + Specialty | AMARILLO + SURGICAL ONCOLOGY |
Please comment or provide details below to improve the information on Shane Eugene Holloway.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.