Tamara Joy Holloway, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

3958 Issued in OK

Practice address

1000 N Lee Ave
Room 4404
Oklahoma City, OK 73102-1036

Phone

(405) 272-6406

Fax

(405) 272-6075

NPI assigned

Dec 12, 2005

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Mark 5 Care Group, PLLC

  • Internal Medicine Physician
  • Oklahoma City, OK
  • NPI 1568722817

  Internal Medicine

  NPD
• Healthfirst Physicians Management Services, Inc

  • Hospitalist Physician
  • Oklahoma City, OK
  • NPI 1891962460

  Internal Medicine

  NPD (past)
• Inpatient Consultants of Texas, PLLC

  • Hospitalist Physician
  • Edmond, OK
  • NPI 1144274655

  Internal Medicine

  NPD (past)
• Integris Southwest Associates

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Oklahoma City, OK
  • NPI 1639202898

  Internal Medicine

  NPD (past)
• Saints Medical Group, LLC

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1437195922

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1134345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1790760817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268922",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268922",
            "telephone_number": "405-272-6406",
            "fax_number": "405-272-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N LEE AVE",
            "address_2": "ROOM 4404",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021036",
            "telephone_number": "405-272-6406",
            "fax_number": "405-272-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "TAMARA",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-12",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "3958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200043990A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00151817",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Ira Holloway
• Michelle Marie Holloway, MD
• Rachael Holloway, PTA
• Rebecca Holloway
• Shaelin M Holloway
• Toni Michelle Holloway
• Willis Holloway Jr., M.D.
• Alexis Holman
• Colin Justin Holman, DDS
• Doretha Holman

• All providers in Oklahoma City, OK
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.