Shane E. Holloway, MD

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

L5771 Issued in TX

Practice address

1000 S Coulter St Ste 200
Amarillo, TX 79106-1841

Phone

(806) 212-6604

Fax

(806) 212-0355

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Surgical OncologyAlso: General Surgery

Education

University of Washington School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bsa Physicians Group IncGroup PAC ID 3971748146, 121 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bsa Compassion Home Care Home health agency, Amarillo, TX, CCN 677943
• Bsa Hospital Hospital, Amarillo, TX, CCN 450231
• Quail Creek Surgical Hospital Hospital, Amarillo, TX, CCN 450875

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sholloway21904@ahs.direct-ci.com

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

• Bsa Physicians Group Inc

  • Internal Medicine Physician
  • Amarillo, TX
  • NPI 1457696916
  Medicare reassignment Care Compare group NPD
• Bsa Physicians Group Inc

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1144668765
  NPD
• Bsa Hospital LLC

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1407191984
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bsa Hospital LLC

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1407191984
  Care Compare affiliation
• Camden Bay LTD

  • Home Health Agency
  • Amarillo, TX
  • NPI 1245426527
  Care Compare affiliation
• Physicians Surgical Hospitals, LLC

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1912948845
  Care Compare affiliation

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1043319940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840026",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840026",
            "telephone_number": "806-212-6965",
            "fax_number": "806-212-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S COULTER ST STE 200",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061841",
            "telephone_number": "806-212-6604",
            "fax_number": "806-212-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "SHANE",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L5771",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "TX",
            "license": "L5771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195821702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Murray Holland IV, DO
• Joseph D Hollingsworth, M.D.
• Ryan C. Hollingsworth, O.D.
• Brandon K Holloway, DPM
• Mark Robert Holloway, M.ED., LPC
• Holly Campidilli, MSSW, LMSW-Ipr
• Heather Holmes, MD
• Kadee Laine Holmes
• Julie Holt, PHARMD
• Home Care Elite

• Surgical Oncology Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Surgical Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.