Individual provider Active NPI

Travis Holloway, DPM

  • Podiatrist
  • Floresville, TX
National Provider Identifier
1235574641
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2201 Issued in TX
Practice address
497 10TH St Ste 104
Floresville, TX 78114-3178
Phone
(830) 393-1400
Fax
(830) 393-1739
NPI assigned
Apr 30, 2013
Last updated
Jul 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2201 OH
Podiatrist 213E00000X 2201 TX Primary

Addresses

Primary practice location

497 10TH St Ste 104
Floresville, TX 78114-3178

Mailing address

499 10TH St Ste 104
Floresville, TX 78114-3175
Phone (830) 393-1400

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160804000182 TX Practitioner - Podiatry 1951609973 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Northeastern Ohio University College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amarillo Foot Specialists PLLCGroup PAC ID 1052635034, 3 clinicians

Practice addresses (Care Compare)

497 10TH St
Suite 104
Floresville, TX 78114-3178
Phone (830) 393-1630

5109 Lexington SQ
Suite 200
Amarillo, TX 79119-6506

5109 Lexington SQ
Suite 200
Amarillo, TX 79119-6578
Phone (806) 322-3338

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue47
Removal of nail tissue197
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2201TXMDBehavioral Analyst
2201OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wilson County Memorial Hospital District CurrentSince Sep 9, 2019 Accepting new patients
Amarillo Foot Specialists, PLLC Podiatrist CurrentSince Jul 1, 2016 Accepting new patients
Wilson County Memorial Hospital District Podiatrist CurrentSince Sep 9, 2019 Accepting new patients
Wilson County Memorial Hospital District Past Accepting new patients

Locations

1901 Medi Park Dr
Ste 1030
Amarillo, TX 79106
Phone (806) 356-2754

5109 Lexington Sq
Ste 200
Amarillo, TX 79119
Phone (806) 322-3338

493 10th St
Floresville, TX 78114

497 10th St
Ste 104
Floresville, TX 78114
Phone (830) 393-1630

499 10th St
Floresville, TX 78114
Phone (830) 216-7096

499 10th St
Ste 104
Floresville, TX 78114

Organizations & group practices 4

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1235574641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 10TH ST STE 104",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781143175",
            "telephone_number": "830-393-1400",
            "fax_number": "830-393-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 10TH ST STE 104",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781143178",
            "telephone_number": "830-393-1400",
            "fax_number": "830-393-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "TRAVIS",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-30",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "2201",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "2201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floresville, TX

Sources for this page

Verify at the official NPI Registry.