Robert C. Holladay, M.D.
Individual provider Active NPI Pulmonary Disease Physician · Shreveport, LA
NPI 1124023668 · NPPES record last updated Feb 12, 2025
Key facts
- NPI
- 1124023668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pulmonary Disease Physician 207RP1001X
- License
- 020136 (LA)
- Practice address
- 850 Olive St
Ste a
Shreveport, LA 71104-2162 - Phone
- (318) 222-3662
- Fax
- (318) 222-0034
- NPI assigned
- Jun 20, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 14
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Louisiana State University School of Medicine in Shreveport, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lsu Health Sciences Center Shreveport Faculty Group Practice
NRMC Physician Ipa Inc
Practice addresses (Care Compare)
1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-5000
501 Keyser Ave
Natchitoches, LA 71457-6018
Phone 31821457701144
Hospital & facility affiliations
- Ochsner Lsu Health Shreveport
- Ochsner Lsu Health Monroe
- Ochsner Lsu Health Shreveport-St Mary Medical Cent
- Natchitoches Regional Medical Center
- Willis Knighton Medical Center
- Pam Health Specialty Hospital of Shreveport
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090225000709 | LA | Practitioner - Pulmonary Disease |
2769571371 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020136 | LA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NRMC Physician Ipa Inc | Current |
Accepting new patients | |
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Internal Medicine | Current |
Accepting new patients |
| NRMC Physician Ipa Inc | Current | Accepting new patients | |
| Brfhh Shreveport LLC | Past | Accepting new patients |
Locations
4864 Jackson St
Monroe, LA 71202
Phone (318) 330-7000
501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200
601 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200
463 Ashley Ridge Blvd
Ste 100
Shreveport, LA 71106
Phone (318) 221-3585
1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
Interoperability endpoints
- rholladay727818@direct.ochsner.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD.020136 | LA | |
| Pulmonary Disease Physician | 207RP1001X | 020136 | LA | Yes |
| Internal Medicine Physician | 207R00000X | MD.020136 | LA |
Addresses
Primary practice location
850 Olive St
Ste a
Shreveport, LA 71104-2162
Mailing address
850 Olive St
Ste a
Shreveport, LA 71104-2162
Phone (318) 222-3662
Other practice location 1
1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 626-0000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1987115 | Medicaid | LA |
Other providers in Shreveport, LA
- Marletta Copes Holcomb
- Melanie Christine Holcombe
- Chelette Holden
- James William Holden
- Lynne F Holladay
- Robert E Holladay IV
- Krisha Andrea Holland
- Laura Lynn Holland
- Matthew Holland
- Sarah Holland
All providers in Shreveport, LA · Pulmonary Disease Physician in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- 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.