NPI Details
Stacey Hollaway, MD is an internal medicine in Canton, OH with 41 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Stacey Hollaway, MD NPI is 1922064906. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1985
The provider's business location address is:
4810 MUNSON ST NW
CANTON, OH
ZIP 44718-613
Phone: (330) 499-3377
The NPI 1922064906 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Automated urinalysis test (HCPCS:81003)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Annual depression screening, 15 minutes (HCPCS:G0444)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Influenza vaccine split virus, preservative free (HCPCS:90662)
- Annual alcohol misuse screening, 15 minutes (HCPCS:G0442)
- Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous (HCPCS:G0328)
- Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
- Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Administration of pneumococcal vaccine (HCPCS:G0009)
- Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
- Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
- Melanoma (skin cancer) excision (HCPCS:NAN03)
The enumeration date for this NPI number is 4/26/2006 and was last updated on 8/21/2012.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 208000000X | Pediatrics | | 35-062821H | OHIO | No |
| 2 | 207R00000X | Internal Medicine | | 35-062821H | OHIO | Yes |
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 Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | F87076 | MEDICARE UPIN | OHIO | |
| 2 | 0888615 | MEDICAID | OHIO | |
| 3 | HO0766943 | MEDICARE PIN | OHIO | |
