Philip Holloway, DPM
Individual provider Active NPI Podiatrist · Paris, IL
NPI 1083709166 · NPPES record last updated Mar 23, 2015
Key facts
- NPI
- 1083709166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Podiatrist 213E00000X
- License
- 016003369 (IL)
- Practice address
- 727 E Court Street
Paris, IL 61944-2460 - Phone
- (217) 465-8411
- Fax
- (217) 465-3184
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07000548A | IN | MD | Podiatrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 016003369 | IL | Yes |
| Podiatrist | 213E00000X | 07000548A | IN |
Addresses
Primary practice location
727 E Court Street
Paris, IL 61944-2460
Mailing address
727 E Court Street
Paris, IL 61944-2460
Phone (217) 465-8411
Other providers in Paris, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.