| 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 | 33 |
| 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 | 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 | Caremed Ohio LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669123949 PECOS PAC ID: 0547653610 Enrollment ID: O20220214000722 |
| Entity Name | Provider Partners Care Management LP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013348028 PECOS PAC ID: 9335379270 Enrollment ID: O20240411002117 |
| 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 |
| Entity Name | Complexcare Medical Group Midwest H PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457144933 PECOS PAC ID: 0143737148 Enrollment ID: O20250725000214 |
| Entity Name | Complexcare Medical Group Midwest M PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528851607 PECOS PAC ID: 1355858630 Enrollment ID: O20250819001725 |
| 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 |