Willis Holloway Jr., M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

15256 Issued in OK

Practice address

6613 N Meridian Ave
Oklahoma City, OK 73116-1423

Phone

(405) 603-8450

Fax

(405) 603-8455

NPI assigned

Jun 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Oklahoma College of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Holloway Group IncGroup PAC ID 1951297985, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: whollo04@yourcarecommunity.org
• Direct secure messaging: wholloway37200@direct-ehr-ssmhc.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holloway Group Inc

  • Multi-Specialty Clinic/Center
  • Oklahoma City, OK
  • NPI 1497848147
  Medicare reassignment Care Compare group NPD
• Oakwood Springs Physician Group LLC

  • Psychiatry Physician
  • Oklahoma City, OK
  • NPI 1326588807
  Medicare reassignment NPD
• The Holloway Group, Inc.

  • Case Management Agency
  • Oklahoma City, OK
  • NPI 1356589188
  NPD (past) Authorized official
• The Holloway Group, Inc.

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1932347721
  NPD (past) Authorized official
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Oakwood Springs, LLC

  dba Oakwood Springs

  • Psychiatric Hospital
  • Oklahoma City, OK
  • NPI 1770932410
  NPD (past)
• SSM Health Care of Oklahoma, Inc.

  dba SSM Health St. Anthony Hospital - Oklahoma City

  • Psychiatric Residential Treatment Facility
  • Oklahoma City, OK
  • NPI 1336248269
  NPD (past)
• SSM Health Care of Oklahoma, Inc.

  dba SSM Health St. Anthony Hospital - Oklahoma City

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Oklahoma City, OK
  • NPI 1437476561
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023054434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6613 N MERIDIAN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161423",
            "telephone_number": "405-603-8450",
            "fax_number": "405-603-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6613 N MERIDIAN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161423",
            "telephone_number": "405-603-8450",
            "fax_number": "405-603-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "WILLIS",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "15256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100046080A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael Holloway, PTA
• Rebecca Holloway
• Shaelin M Holloway
• Tamara Joy Holloway, DO
• Toni Michelle Holloway
• Alexis Holman
• Colin Justin Holman, DDS
• Doretha Holman
• Erika Yvonne Holman
• Erin E Holman, PHARM D

• Psychiatry Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Psychiatry Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.