Holly D. Casey, MD, a Professional Medical Corp

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

L14095R Issued in LA

Legal business name

HOLLY D. CASEY, MD, A PROFESSIONAL MEDICAL CORP

Practice address

8600 Fern Avenue
Shreveport, LA 71105

Phone

(318) 795-0801

Fax

(318) 795-9492

NPI assigned

Dec 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Holly D. Casey, MD

Title

Member

Phone

(318) 795-0801

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1831492180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 FERN AVENUE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71105",
            "telephone_number": "318-795-0801",
            "fax_number": "318-795-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 FERN AVENUE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71105",
            "telephone_number": "318-795-0801",
            "fax_number": "318-795-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY D. CASEY, MD, A PROFESSIONAL MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "318-795-0801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "LA",
            "license": "L14095R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184306",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne M Hollister, M.D.
• Holliway Medical Clinic LLC
• Brondwyn Holliway, M.D.
• Linda Holloway, CCC-SLP
• Matthew Braxton Hollowell, RT(R)
• Holly D. Casey, MD. a Professional Medical Corp.
• Latasha Nicole Holly, M.A.
• Hollywood Health Service
• Ronald Edward Holman, M.D.
• Courtney L Holmes Ukpabi, MSW, LMSW

• Plastic Surgery Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Plastic Surgery Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.