NPIMap

Individual provider Active NPI

Jeffrey A Holloway, MD

  • Surgery Physician
  • Scottsbluff, NE
National Provider Identifier
1609860196
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20855 Issued in NE
Practice address
2 W 42ND St
Suite 3100
Scottsbluff, NE 69361-0615
Phone
(308) 632-2872
Fax
(308) 632-4191
NPI assigned
Sep 9, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 20855 NE Primary

Addresses

Primary practice location

2 W 42ND St
Suite 3100
Scottsbluff, NE 69361-0615

Mailing address

2 W 42ND St
Suite 3100
Scottsbluff, NE 69361-0615
Phone (308) 632-2872

Other identifiers 1

IdentifierTypeStateIssuer
47070174412MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081008000348 NE Practitioner - General Surgery 8729084348 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
George Washington University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional West Physicians ClinicGroup PAC ID 2062301609, 136 clinicians
Box Butte General HospitalGroup PAC ID 9638089584, shared by 7 NPIs, 60 clinicians

Practice addresses (Care Compare)

2 W 42ND St
Suite 3100
Scottsbluff, NE 69361-0612
Phone (308) 632-2872

2101 Box Butte Ave
Alliance, NE 69301-4445
Phone (308) 762-6660

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy44
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)22
Mastectomy23
Upper gastrointestinal (GI) endoscopy for acid reflux22
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20855NEMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kimball County Hospital CurrentSince Apr 1, 2024 Accepting new patients
Box Butte General Hospital CurrentSince Sep 1, 2025 Accepting new patients
Chadron Community Hospital Corp. CurrentSince Feb 1, 2026 Accepting new patients
Box Butte General Hospital CurrentSince Sep 1, 2025 Accepting new patients
Kimball County Hospital CurrentSince Apr 1, 2024 Accepting new patients
Box Butte General Hospital CurrentSince Dec 1, 2025 Accepting new patients
Box Butte General Hospital Current Accepting new patients
Kimball County Hospital Past Accepting new patients
Regional West Medical Center Past Accepting new patients
Kimball County Hospital Past Accepting new patients
Regional West Medical Center PastSince Jun 1, 2025 Accepting new patients
Regional West Physicians Clinic Past Accepting new patients

Locations

2101 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-6660

825 Centennial Dr
Chadron, NE 69337
Phone (308) 432-4441

255 W 4th St
Kimball, NE 69145
Phone (308) 235-1951

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Regional West Medical CenterScottsbluff, NE, CCN 28T061 Hospital Corporate Director Jun 1, 2025
Regional West Medical CenterScottsbluff, NE, CCN 280061 Hospital Corporate Director Aug 23, 2010
Regional West Medical CenterScottsbluff, NE, CCN 28S061 Hospital Corporate Director Jun 1, 2025
Regional West Physicians ClinicMorrill, NE, CCN 283821 Rural health clinic Corporate Officer
Corporate Director
W-2 Managing Employee
Operational/Managerial Control		 Oct 14, 2019
Jul 1, 2012
Sep 25, 2017
Sep 25, 2017

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609860196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W 42ND ST",
            "address_2": "SUITE 3100",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693610615",
            "telephone_number": "308-632-2872",
            "fax_number": "308-632-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W 42ND ST",
            "address_2": "SUITE 3100",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693610615",
            "telephone_number": "308-632-2872",
            "fax_number": "308-632-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "20855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47070174412",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

Verify at the official NPI Registry.