Active NPI
Holly L. Erway, PA
- Physician Assistant
- Rolla, MO
National Provider Identifier
1346286887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2005039928
- Practice address
- 1605 Martin Springs Dr
Suite 250
Rolla, MO 65401-2931 - Phone
- (573) 458-6363
- Fax
- (573) 458-6735
- NPI assigned
- Jun 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2005039928 | MO | Primary |
Addresses
Primary practice location
1605 Martin Springs Dr
Suite 250
Rolla, MO 65401-2931
Mailing address
PO Box 2580
Springfield, MO 65801-2580
Phone (417) 829-4620
Other names 1
- Holly L. Kleinschmidt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005039928 | MO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pratt Family Practice LLC | Past | Accepting new patients | |
| St. Joseph Memorial Hospital, Inc. | Past | Accepting new patients | |
| St. Joseph Memorial Hospital, Inc. | Past | Accepting new patients |
Interoperability endpoints
- herway736@directb.mercy.net
Organizations & group practices 3
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.
-
- Rural Health Clinic/Center
- Pratt, KS
- NPI 1346379625
-
- Family Medicine Physician
- Larned, KS
- NPI 1326098914
-
- Rural Health Clinic/Center
- Larned, KS
- NPI 1710133269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284940800000",
"number": "1346286887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2580",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658012580",
"telephone_number": "417-829-4620",
"fax_number": "417-829-4316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 MARTIN SPRINGS DR",
"address_2": "SUITE 250",
"city": "ROLLA",
"state": "MO",
"postal_code": "654012931",
"telephone_number": "573-458-6363",
"fax_number": "573-458-6735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERWAY",
"first_name": "HOLLY",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2010-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "2005039928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HOLLY",
"last_name": "KLEINSCHMIDT",
"middle_name": "L.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rolla, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.