Sondra Leigh Holloway, DO
Individual provider Active NPI Family Medicine Physician · Bangor, ME
NPI 1235402256 · NPPES record last updated Jul 22, 2016
Key facts
- NPI
- 1235402256
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- DO2551 (ME)
- Practice address
- 895 Union St
Suite 12
Bangor, ME 04401-3053 - Phone
- (207) 973-7979
- Fax
- (207) 947-9579
- NPI assigned
- Feb 22, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Rocky Vista University College of Osteopathic Med, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Morrill County Community Hospital
Practice addresses (Care Compare)
1313 S St
Bridgeport, NE 69336-2563
Phone (308) 262-1616
1313 S St a
Bridgeport, NE 69336-2563
Phone (308) 262-1755
320 Main St
Bayard, NE 69334-1500
Phone (308) 586-1717
Hospital & facility affiliations
- Brookestone Home Health & Hospice
- Morrill County Community Hospital
- Regional West Medical Center
- Box Butte General Hospital
- Chimney Rock Villa
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.07 of 100
- Quality
- 62.54
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 72.7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- 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 |
|---|---|---|---|---|
| I20170118002465 | NE | Practitioner - Family Practice | 9335368828 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO2551 | ME | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morrill County Community Hospital | Current | Accepting new patients | |
| Morrill County Community Hospital | Current |
Accepting new patients | |
| Morrill County Community Hospital | Family Medicine | Current |
Accepting new patients |
| Morrill County Community Hospital | Family Medicine | Current | Accepting new patients |
| Chimney Rock Villa | Past | Accepting new patients | |
| Panhandle Public Health District | Past | Accepting new patients | |
| Fort Collins Radiologic Associates PC | Past | Accepting new patients | |
| Morrill County Community Hospital | Past | Accepting new patients |
Locations
1313 S St
#A
Bridgeport, NE 69336
Phone (308) 262-1755
1313 S St
Bridgeport, NE 69336
Phone (308) 262-1616
Interoperability endpoints
- sondraholloway@mcch.medalliesdirect.net
- sondra.holloway@nehiidirectmail.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO2551 | ME | Yes |
Addresses
Primary practice location
895 Union St
Suite 12
Bangor, ME 04401-3053
Mailing address
43 Whiting Hill Rd
Suite 300
Brewer, ME 04412-1005
Phone (207) 973-5035
Other providers in Bangor, ME
- Holden Dental Center, P.a.
- Holistic Compassionate Advocacy PLLC
- Ann L Holland
- Lauren Holleb
- Caroline Renee Hollnagel
- Ardelle Patricia Hollrock
- Holly Merchant Counseling, PLLC
- Niamh M Holohan
- Hans Albert Holzwarth
- Felicity Homsted
All providers in Bangor, ME · Family Medicine Physician in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2016. 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.