| Byron Byrnes Holloway, DO | |
|
3000 Medical Park Dr Ste 500, Tampa, FL 33613-6600 | |
| (813) 615-7007 | |
| Not Available |
| Full Name | Byron Byrnes Holloway |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 12 Years |
| Location | 3000 Medical Park Dr Ste 500, Tampa, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316284953 | NPI | - | NPPES |
| WA248 | Other | FL | HFMG |
| 115913100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | OS19187 (Florida) | Primary |
| 208600000X | Surgery | 008085 (Arizona) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeastern Vermont Regional Hospital | Saint johnsbury, VT | Hospital |
| Centura Health-st Anthony North Health Campus | Westminster, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Acute Care Surgery Medical Group Inc | 7214006816 | 135 |
| Northeastern Vermont Regional Hospital Inc | 3678481405 | 108 |
| Entity Name | Acute Care Surgery Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700069549 PECOS PAC ID: 7214006816 Enrollment ID: O20221206002128 |
| Mailing Address | Practice Location Address |
|---|---|
| Byron Byrnes Holloway, DO 3000 Medical Park Dr Ste 500, Tampa, FL 33613-6600 Ph: (813) 615-7007 | Byron Byrnes Holloway, DO 3000 Medical Park Dr Ste 500, Tampa, FL 33613-6600 Ph: (813) 615-7007 |
Dr. Michael Martin Wach, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 12902 Usf Magnolia Dr, Tampa, FL 33612 Phone: 813-745-2916 | |
Dr. Ricardo Emmanuel Rendel, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 2 Tampa General Cir, Tampa, FL 33606 Phone: 813-821-8038 | |
Mr. Camilo Andres Trujillo, SURGICAL ASSISTANT Surgery Medicare: Not Enrolled in Medicare Practice Location: 7171 N Dale Mabry Hwy, Tampa, FL 33614 Phone: 813-932-2222 | |
Thomas J Herron, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Tampa General Cir, Tampa, FL 33606 Phone: 813-844-7968 | |
Marco Antonio Rajo Andrade, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6919 N Dale Mabry Hwy Ste 200, Tampa, FL 33614 Phone: 813-933-3324 Fax: 813-932-4357 | |
Brad L Johnson, MD Surgery Medicare: Medicare Enrolled Practice Location: 2 Tampa General Cir, Tampa, FL 33606 Phone: 813-974-2201 | |
Dr. Karl Armistead Illig, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Tampa General Cir, Usf Vascular Surgery Ste.300, Tampa, FL 33606 Phone: 813-259-0921 Fax: 813-259-0606 |