Provider Type Icon

EVERETT DEAN HOLLEY MD NPI 1073547782


NPI Information

NPI: 1073547782
Provider Name: EVERETT DEAN HOLLEY, MD
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
800 E DAWSON ST
TYLER, TX
ZIP 75701
Phone: (903) 531-4262
Get Directions

Everett Dean Holley, MD is an emergency medicine in Tyler, TX with 23 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Everett Dean Holley, MD NPI is 1073547782. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduation Year:2001

The provider's business location address is:

800 E DAWSON ST
TYLER, TX
ZIP 75701-036
Phone: (903) 531-4262

The NPI 1073547782 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 11/6/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineL6065TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
175-2616977-028OTHERTEXASTRICARE
28DU752OTHERTEXASBCBS
3158367610MEDICAIDTEXAS
4158367611MEDICAIDTEXAS
5158367612MEDICAIDTEXAS
6750818167015OTHERTEXASTRICARE
775-0818167022OTHERTEXASTRICARE
8TIN PLUS 015OTHERTEXASTRICARE
975-2616977-002OTHERTEXASTRICARE
10P00662854OTHERTEXASRAIL ROAD
11P01304462OTHERTEXASRAIL ROAD
12750818167044OTHERTEXASTRICARE
13158367613MEDICAIDTEXAS
14P00792073OTHERTEXASRAIL ROAD
1575-0818167-048OTHERTEXASTRICARE
16158367614MEDICAIDTEXAS
1775-2616977-01OTHERTEXASTRICARE
18751976930005OTHERTEXASTRICARE
198X8161OTHERTEXASBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.