Organization Active NPI

Howard R Holaday, M.D., P.a.

  • Neurological Surgery Physician
  • Jackson, MS
National Provider Identifier
1841496239
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
11213 Issued in MS
Legal business name
HOWARD R HOLADAY, M.D., P.A.
Practice address
5903 Ridgewood Rd
Suite 101
Jackson, MS 39211-3700
Phone
(601) 982-8121
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Nathaniel C Graff
Title
Consultant Administrator
Phone
(504) 680-8383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 11213 MS Primary

Addresses

Primary practice location

5903 Ridgewood Rd
Suite 101
Jackson, MS 39211-3700

Mailing address

614 Tchoupitoulas St
New Orleans, LA 70130-3212
Phone (504) 680-8383

Other identifiers 1

IdentifierTypeStateIssuer
0111758MedicaidMS

National Provider Directory

National Provider Directory

Locations

5903 Ridgewood Rd
Ste 101
Jackson, MS 39211
Phone (601) 982-8121

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841496239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 TCHOUPITOULAS ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701303212",
            "telephone_number": "504-680-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5903 RIDGEWOOD RD",
            "address_2": "SUITE 101",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392113700",
            "telephone_number": "601-982-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD R HOLADAY, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAFF",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CONSULTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "504-680-8383",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "MS",
            "license": "11213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111758",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.