Edward Holloway, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN3180702 Issued in FL

Practice address

21298 Olean Blvd
Port Charlotte, FL 33949

Phone

(941) 629-1181

Fax

(941) 624-6020

NPI assigned

Jul 7, 2006

Last updated

Dec 8, 2011By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Care Anesthesia Specialists IncGroup PAC ID 2466867379, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Care Anesthesia Specialists Inc

  • Anesthesiology Physician
  • Port Charlotte, FL
  • NPI 1437745338

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Group of Sarasota PA

  • Anesthesiology Physician
  • Sarasota, FL
  • NPI 1063471514
  NPD (past)
• Peace River Anesthesiology Associates PA

  • Specialist
  • Punta Gorda, FL
  • NPI 1497737654
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1962434399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 GRAND BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34652",
            "telephone_number": "727-845-1736",
            "fax_number": "727-849-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21298 OLEAN BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "33949",
            "telephone_number": "941-629-1181",
            "fax_number": "941-624-6020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "EDWARD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "RN3180702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310998400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holiday CVS LLC (CVS Pharmacy #04726)
• Holiday CVS LLC (CVS Pharmacy #03122)
• Holiday CVS, L.L.C. (CVS Pharmacy # 05410)
• Laura Frances Hollenbeck, APRN
• Susie Jane Holliday, RCSWI, MSW
• William A Holt, DO
• Home Again of Southwest Florida,Inc.
• Home Health Care Resources Corp.
• Homoky Family Dentistry PA
• Joseph Michael Homoky, D.M.D.

• Certified Registered Nurse Anesthetist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Certified Registered Nurse Anesthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.