NPIMap

Individual provider Active NPI

Thomas C Holloway, MD

  • Anesthesiology Physician
  • Shelby, OH
National Provider Identifier
1518951573
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35049753 Issued in OH
Practice address
199 W Main St
Shelby, OH 44875-1490
Phone
(419) 342-1750
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 35049753 OH Primary

Addresses

Primary practice location

199 W Main St
Shelby, OH 44875-1490

Mailing address

1469 Sand Ridge Rd
Bowling Green, OH 43402-4493
Phone (419) 352-4065

Other identifiers 3

IdentifierTypeStateIssuer
0585933MedicaidOH
000000501096OtherANTHEM
P00080101OtherRAILROAD MEDICARE

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35049753OHMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Anesthesiology, Inc Anesthesiology Past Accepting new patients
Emergency Physicians of Northwest Ohio, LLC Past Accepting new patients
Memorial Anesthesia, LTD. Anesthesiology Past Accepting new patients
Summit Anesthesia, LLC Anesthesiology Past Accepting new patients
Guernsey Anesthesia Associates, Inc. Past Accepting new patients
Mercy Associates, Inc Past Accepting new patients
Fostoria Hospital Association Past Accepting new patients
Medcentral Professional Association Inc. Anesthesiology PastSince Nov 1, 2011 Accepting new patients
Buckeye Anesthesia Services & Consultants LLC Anesthesiology Past Accepting new patients

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1518951573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 SAND RIDGE RD",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434024493",
            "telephone_number": "419-352-4065",
            "fax_number": "419-352-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 W MAIN ST",
            "city": "SHELBY",
            "state": "OH",
            "postal_code": "448751490",
            "telephone_number": "419-342-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "THOMAS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35049753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0585933",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000501096",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00080101",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.