Individual provider Active NPI

Ronald Wayne Holland, CRNA

  • Certified Registered Nurse Anesthetist
  • Dothan, AL
National Provider Identifier
1275701658
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1-082870 Issued in AL
Practice address
4370 W Main St
Dothan, AL 36305-1056
Phone
(334) 793-5000
Fax
(334) 615-8419
NPI assigned
Feb 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1-082870 AL Primary

Addresses

Primary practice location

4370 W Main St
Dothan, AL 36305-1056

Mailing address

PO Box 6907
Dothan, AL 36302-6907
Phone (334) 793-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080407000533 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224115811 Reassigns benefits to 6 organizations
I20100126000182 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224115811 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dale Medical CenterGroup PAC ID 3476466327, 29 clinicians
Jackson Anesthesia Associates IncGroup PAC ID 0749273282, 16 clinicians

Practice addresses (Care Compare)

1108 Ross Clark Cir
Dothan, AL 36301-3022
Phone (334) 793-8087

126 Hospital Ave
Ozark, AL 36360-2018
Phone (334) 774-2601

126 Hospital Ave
Ozark, AL 36360-2080

1360 Brickyard Rd
Chipley, FL 32428-6303
Phone (850) 638-1610

2500 MLK Jr Blvd
Panama City, FL 32405-4412
Phone (850) 784-3937

3024 4TH St
Marianna, FL 32446-2125
Phone (850) 482-7200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-082870ALMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Dale Medical Center Nurse Anesthetist, Certified Registered CurrentSince Jun 28, 2022 Accepting new patients
Northwest Florida Healthcare, Inc CurrentSince Jul 1, 2020 Accepting new patients
Dale Medical Center Current Accepting new patients
Jackson Anesthesia Associates Inc Nurse Anesthetist, Certified Registered CurrentSince Oct 25, 2009 Accepting new patients
Pathology Laboratory Associates Current Accepting new patients
Southern Alabama Surgery Center LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 15, 2018 Accepting new patients
Houston County Healthcare Authority Nurse Anesthetist, Certified Registered Current Accepting new patients
Northwest Florida Healthcare, Inc CurrentSince Jul 1, 2020 Accepting new patients
Dothan Anesthesiology Associates PC CurrentSince May 1, 2013 Accepting new patients
Medcore Associates, PLLC Current Accepting new patients
Houston County Healthcare Authority CurrentSince Jul 1, 2019 Accepting new patients
Dale Medical Center CurrentSince Jun 28, 2022 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 2, 2019 Accepting new patients
Houston County Healthcare Authority Current Accepting new patients
Anesthesia Consultants Medical Group PC Nurse Anesthetist, Certified Registered PastSince Feb 1, 2024 Accepting new patients

Locations

1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

2800 Ross Clark Cir
Dothan, AL 36301
Phone (334) 793-3411

1118 Ross Clark Cir
Ste 700
Dothan, AL 36301
Phone (334) 793-5105

2800 Ross Clark Cir
Ste 3
Dothan, AL 36301
Phone (334) 793-3411

820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

1360 Brickyard Rd
Chipley, FL 32428
Phone (850) 415-8300

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

3024 4th St
Marianna, FL 32446
Phone (850) 258-3148

204B E 19th St
Panama City, FL 32405
Phone (850) 769-7599

Interoperability endpoints

  • Direct secure messaging: ronald.holland.p1@direct.ddc.nextgenshare.com

Organizations & group practices 17

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

View all 17

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": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203379200000",
    "number": "1275701658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6907",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363026907",
            "telephone_number": "334-793-5000",
            "fax_number": "334-615-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051056",
            "telephone_number": "334-793-5000",
            "fax_number": "334-615-8419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "RONALD",
        "middle_name": "WAYNE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-19",
        "last_updated": "2008-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AL",
            "license": "1-082870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.