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NPI Code Detail

MEDICARE: DR. THOMAS C HOLLOWAY MD

MEDICARE: DR. THOMAS C HOLLOWAY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician35049753OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00080101OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000501096OTHERANTHEM

General Provider Information

NPI Number : 1518951573
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS C HOLLOWAY MD
Provider Business Mailing Address
First Line : 1469 SAND RIDGE RD
Second Line :
City : BOWLING GREEN
State : OH
Zip : 43402-4493
Country : US
Telephone Number : 419-352-4065
Fax Number : 419-352-4065
Provider Business Practice Location Address
First Line : 199 W MAIN ST
Second Line :
City : SHELBY
State : OH
Zip : 44875-1490
Country : US
Telephone Number : 419-342-1750
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 01/10/2012

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Directions to “ DR. THOMAS C HOLLOWAY MD” Practice Location

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