Concetta Renee Holloway-Anthony, DO

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

H0064572 Issued in MD

Practice address

3905 Woodreed Dr
Brandywine, MD 20613-6005

Phone

(301) 292-7563

Fax

(301) 292-5273

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Concetta Renee Holloway Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437260759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 WOODREED DR",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206136005",
            "telephone_number": "301-292-7563",
            "fax_number": "301-292-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 WOODREED DR",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206136005",
            "telephone_number": "301-292-7563",
            "fax_number": "301-292-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY-ANTHONY",
        "first_name": "CONCETTA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "H0064572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONCETTA",
            "last_name": "HOLLOWAY",
            "middle_name": "RENEE",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rosemarie Walden Henry, MD
• Hervolve Wellness LLC
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• Rachel N Hill, PTA
• Keisha Natasha Hinds, CRNP
• Jennifer N Hooker, CCC-SLP
• Lakeesha D Hope-Pritchett, LCSW-C
• Thomas K Huisman, MD
• Carlisa Jean Hurtt
• Ana R Ibanez

• Surgery Physician in Brandywine, MD
• Providers in Brandywine, MD by specialty
• Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.