Taylor D Holliday, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101039694 Issued in VA

Practice address

16431 Wise St.
Saint Paul, VA 24283

Phone

(276) 762-2300

Fax

(276) 762-0612

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1477571743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16431 WISE ST.",
            "city": "SAINT PAUL",
            "state": "VA",
            "postal_code": "24283",
            "telephone_number": "276-762-2300",
            "fax_number": "276-762-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16431 WISE ST.",
            "city": "SAINT PAUL",
            "state": "VA",
            "postal_code": "24283",
            "telephone_number": "276-762-2300",
            "fax_number": "276-762-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIDAY",
        "first_name": "TAYLOR",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101039694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477571743",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dara Nicole Francis, PHARM. D
• James A Gross, RPH
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• Michael Lawrence Hamilton, PHARM. D.
• Haven LTH, LLC (Haven Home Health Care)
• Kristen Renee Jessee-Breeding, PAC
• Andrea Johnson, PHARM.D.
• K-VA-T Food Stores Inc (Food City Pharmacy #897)
• Julie Large, PHARM D
• Derek Lester McCowan

• Family Medicine Physician in Saint Paul, VA
• Providers in Saint Paul, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.