Organization Active NPI

Eric Stephen Hollabaugh, M.D., PA

  • MOHS-Micrographic Surgery Physician
  • Plano, TX
National Provider Identifier
1780879346
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
H6293 Issued in TX
Legal business name
ERIC STEPHEN HOLLABAUGH, M.D., PA
Practice address
6100 Windhaven Pkwy Ste 208
Plano, TX 75093-8046
Phone
(972) 378-0620
Fax
(972) 378-0630
NPI assigned
Sep 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Authorized official

Name
Eric Stephen Hollabaugh, M.D., P.A.NPI 1497749824
Title
President
Phone
(972) 378-0620

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0101X H6293 TX Primary

Addresses

Primary practice location

6100 Windhaven Pkwy Ste 208
Plano, TX 75093-8046

Mailing address

6100 Windhaven Pkwy Ste 208
Plano, TX 75093-8046
Phone (972) 378-0620

National Provider Directory

National Provider Directory

Locations

6100 Windhaven Pkwy
Ste 208
Plano, TX 75093
Phone (972) 378-0620

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1780879346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 WINDHAVEN PKWY STE 208",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938046",
            "telephone_number": "972-378-0620",
            "fax_number": "972-378-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 WINDHAVEN PKWY STE 208",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938046",
            "telephone_number": "972-378-0620",
            "fax_number": "972-378-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC STEPHEN HOLLABAUGH, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "HOLLABAUGH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-378-0620",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "H6293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.