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ETHAN HOLLAND MD
NPI 1356036347
Student in an Organized Health Care Education/Training Program in Memphis, TN

Active since April 06, 2023PECOS Enrolled
920 MADISON AVE STE 447, MEMPHIS, TN 38103(901) 448-2302 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ethan Holland Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN HOLLAND MD (NPI 1356036347) is an individual student in an organized health care education/training program in Memphis, Tennessee and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356036347
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN HOLLANDCredential: MD
Location Address920 MADISON AVE STE 447Memphis, TN 38103-3438
Mailing Address920 Madison Ave Fl 2Memphis, TN 38103-3438
Phone(901) 448-2302
Sole ProprietorNo
Enumeration DateApril 6, 2023
NPPES CertifiedApril 6, 2023
✔ NPI 1356036347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

920 MADISON AVE STE 447, Memphis, TN 38103
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Holland Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNIVERSITY OF TENNESSEE HEALTH SCIENCE CENTER
General Acute Care Hospital
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Shelby County (901) 448-5364
RACHEL ELIZABETH STRENGTH
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Shelby County (901) 448-5814
DR. DEREK DEAN DO
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Shelby County (901) 448-4795
ALLYSON HUGHES MD
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Shelby County (901) 448-5814
DR. NATHAN RAPHAEL MULROY MD
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Shelby County (901) 287-6756
DR. EDUARDO ANDRES GRIMALDI MD
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Shelby County (901) 448-4795
SARA ELISHA MCHENRY
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Shelby County (901) 448-5364
DEKE BLUM
Student in an Organized Health Care Education/Training Program
920 MADISON AVE STE 447
MEMPHIS, TN 38103
Shelby County (901) 448-2782

Frequently Asked Questions

What is Ethan Holland's NPI number?

The NPI number assigned to this healthcare provider is 1356036347, enumerated as an "individual" on April 06, 2023.

Where is the provider located?

The provider is located at 920 MADISON AVE STE 447 MEMPHIS, TN 38103 and the phone number is (901) 448-2302.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.