Kenneth Wayne Hollis, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

J4856 Issued in TX

Practice address

11914 Astoria Blvd Ste 125
Houston, TX 77089-6073

Phone

(281) 482-4300

Fax

(281) 482-3159

NPI assigned

Feb 21, 2006

Last updated

Mar 16, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Kenneth Hollis, M.D., P.a.

  • Surgery Physician
  • Friendswood, TX
  • NPI 1881628063
  Authorized official Same address or phone
• Home Dialysis of Illinois LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Northbrook, IL
  • NPI 1881304566
  NPD (past)
• Quality Medical Management Corp

  • Certified Registered Nurse Anesthetist
  • Port Jefferson Station, NY
  • NPI 1114502606
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1689649899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58869",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775988869",
            "telephone_number": "281-482-4300",
            "fax_number": "281-482-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11914 ASTORIA BLVD STE 125",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896073",
            "telephone_number": "281-482-4300",
            "fax_number": "281-482-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "KENNETH",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "J4856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lamonica Michelle Hollins, CD
• Makyra Hollins
• Rashieda D Hollins, LMT
• Shammari Hollins
• Hollis Holdings, LLC (The Inside Story Ultrasound)
• Nefertia Hollis
• Patricia Lynn Hollister
• Ashley Holloman
• Conisha Mone Holloman, MD
• Michael Hollopeter, PAC

• Surgery Physician in Houston, TX
• Providers in Houston, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; 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.