Michelle Marie Holloway, MD | |
2129 Sw 59th Street, Oklahoma City, OK 73159-7024 | |
(405) 272-6391 | |
(405) 713-4859 |
Full Name | Michelle Marie Holloway |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
Location | 2129 Sw 59th Street, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235166364 | NPI | - | NPPES |
100168700A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 18507 (Oklahoma) | Primary |
Entity Name | Ssm Health Care Of Oklahoma, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033283932 PECOS PAC ID: 6709771207 Enrollment ID: O20040216000184 |
Entity Name | Saints Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437195922 PECOS PAC ID: 7012914898 Enrollment ID: O20061109000189 |
Mailing Address | Practice Location Address |
---|---|
Michelle Marie Holloway, MD 1000 N Lee Ave, Behavioral Medicine, Oklahoma City, OK 73102-1036 Ph: (405) 272-6216 | Michelle Marie Holloway, MD 2129 Sw 59th Street, Oklahoma City, OK 73159-7024 Ph: (405) 272-6391 |
Lindsay Horn, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1140 N Hudson Ave, Oklahoma City, OK 73103 Phone: 405-858-2800 | |
Adil Tumbi, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 920 Sl Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-5251 | |
Matthew Michael Ryan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 800 N W 9th Street, Suite 100, Oklahoma City, OK 73106 Phone: 405-815-5050 Fax: 405-815-5051 | |
Dr. Meheroz H Rabadi, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-1000 Fax: 405-456-1504 | |
Willis Holloway Jr., M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6613 N Meridian Ave, Oklahoma City, OK 73116 Phone: 405-603-8450 Fax: 405-603-8455 | |
Chauncey Atterberry, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 921 Ne 13th St, Oklahoma City, OK 73104 Phone: 405-456-1000 | |
Ethan D Lindsey, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1117 Nw 50th St, Oklahoma City, OK 73118 Phone: 405-842-4435 Fax: 405-842-2846 |