| Kathryn Holloway, FNP | |
|
4400 Easton Cmns Ste 125, Columbus, OH 43219-6223 | |
| (574) 546-1900 | |
| (574) 546-1999 |
| Full Name | Kathryn Holloway |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 4400 Easton Cmns Ste 125, Columbus, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922506211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | APRN.CNP.022267 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.022267 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wound Med Llc | 2769916915 | 11 |
| Stafford Services, Inc. | 4486678901 | 31 |
| Theoria Medical | 5395098339 | 414 |
| Entity Name | Hcr Manorcare Medical Services Of Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386750420 PECOS PAC ID: 2264338532 Enrollment ID: O20041210000189 |
| Entity Name | Stafford Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679542021 PECOS PAC ID: 4486678901 Enrollment ID: O20060123000759 |
| Entity Name | Mills Medical Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477701969 PECOS PAC ID: 4981767597 Enrollment ID: O20090108000186 |
| Entity Name | At Your Door Visiting Healthcare Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750760849 PECOS PAC ID: 0042522344 Enrollment ID: O20150629002577 |
| Entity Name | Extended Care Specialists, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134146079 PECOS PAC ID: 2466407713 Enrollment ID: O20190522003072 |
| Entity Name | Heartland Hospice Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710931357 PECOS PAC ID: 4789592536 Enrollment ID: O20200623001943 |
| Entity Name | Careconnectmd Ohio, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255971537 PECOS PAC ID: 2567885577 Enrollment ID: O20200709002068 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20200728002910 |
| Entity Name | Guidestar Eldercare Corp -oh |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962023424 PECOS PAC ID: 9739504523 Enrollment ID: O20200811001532 |
| Entity Name | Eventus Wholehealth Midwest Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386252757 PECOS PAC ID: 4183040470 Enrollment ID: O20211214001579 |
| Entity Name | Wound Med Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790521060 PECOS PAC ID: 2769916915 Enrollment ID: O20241111000666 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Holloway, FNP Po Box 11167, Fort Wayne, IN 46856-1167 Ph: (574) 546-1900 | Kathryn Holloway, FNP 4400 Easton Cmns Ste 125, Columbus, OH 43219-6223 Ph: (574) 546-1900 |