Albert Z Holloway, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

8318 Issued in AL

Practice address

2611 Woodley Park Dr
Montgomery, AL 36116-3834

Phone

(334) 420-5001

Fax

(334) 420-0158

NPI assigned

Sep 21, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• bcbs alabama network 01E0
• bcbs alabama network 01B0
• bcbs alabama network 01G0
• bcbs alabama network 01C0
• bcbs alabama network 01A0

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.

• Montgomery Area Mental Health Authority Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Montgomery, AL
  • NPI 1710012398
  Medicare reassignment NPD

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1831298355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70365",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361070365",
            "telephone_number": "334-420-5001",
            "fax_number": "334-420-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 WOODLEY PARK DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361163834",
            "telephone_number": "334-420-5001",
            "fax_number": "334-420-0158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "ALBERT",
        "middle_name": "Z",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AL",
            "license": "8318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000009675",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110466",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonya Faye Holley, CRNA
• Tanya Tamiki Hollinshed-Miles, D.D.S.
• James Robert Hollis Jr., D.C.
• Katrice Hollis Hollis, CRNP
• George Alexander Hollon, D.C.
• Isis Holloway, DO
• Judy L Holloway
• Keyannah Holloway, PHARM.D
• Lendy Holm
• Linda Holmberg, LPC

• Pediatric Adolescent Medicine Physician in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Pediatric Adolescent Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.