Organization Active NPI

Holder Anesthesia

  • Certified Registered Nurse Anesthetist
  • Oxford, MS
National Provider Identifier
1063873438
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
HOLDER ANESTHESIA
Practice address
2311 Jackson Ave W
Suite 302
Oxford, MS 38655-5750
Phone
(662) 612-0063
Fax
(662) 580-4324
NPI assigned
Mar 14, 2016
Last updated
Mar 21, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Authorized official

Name
Penneye Holder, CRNA
Title
Owner
Phone
(662) 550-4299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

2311 Jackson Ave W
Suite 302
Oxford, MS 38655-5750

Mailing address

PO Box 1596
Oxford, MS 38655-1596
Phone (662) 550-4299

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458518400000",
    "number": "1063873438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1596",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386551596",
            "telephone_number": "662-550-4299",
            "fax_number": "662-580-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 JACKSON AVE W",
            "address_2": "SUITE 302",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555750",
            "telephone_number": "662-612-0063",
            "fax_number": "662-580-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLDER ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-21",
        "status": "A",
        "authorized_official_last_name": "HOLDER",
        "authorized_official_first_name": "PENNEYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-550-4299",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.