Robert M Holley MD, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11422 Issued in WV

Legal business name

ROBERT M HOLLEY MD, INC

Practice address

2500 Jefferson Ave
PT Pleasant, WV 25550-1530

Phone

(304) 675-1675

Fax

(304) 675-3713

NPI assigned

Jun 7, 2007

Last updated

Aug 5, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert M Holley, MDNPI 1295834810

Title

Physician

Phone

(304) 675-1675

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert M Holley, MD

  • Family Medicine Physician
  • PT Pleasant, WV
  • NPI 1295834810
  Authorized official Same address or phone

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1356544365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 JEFFERSON AVE",
            "city": "PT PLEASANT",
            "state": "WV",
            "postal_code": "255501530",
            "telephone_number": "304-675-1675",
            "fax_number": "304-675-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 JEFFERSON AVE",
            "city": "PT PLEASANT",
            "state": "WV",
            "postal_code": "255501530",
            "telephone_number": "304-675-1675",
            "fax_number": "304-675-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M HOLLEY MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "304-675-1675",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "11422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Point Pleasant Physician Billing Services
• PVH Serfontein Office
• PVH Serfontein Office
• Stephen Karl Rerych, MD
• James E Riffle, RN
• Jodi Beth Saunders
• Stephanus Johannes Serfontein, MD
• Brittany Rae Snodgrass, PHARMD
• Theresa Simon MD, PLLC
• Kristen L Thompson, CPNP-PC

• Family Medicine Physician in PT Pleasant, WV
• Providers in PT Pleasant, WV by specialty
• Family Medicine Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.