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DR. BLAKE RYAN HOLLOWOA MD
NPI 1871099499
Otolaryngology - Plastic Surgery within the Head & Neck in Charleston, SC

Active since April 03, 2018PECOS Enrolled
9228 MEDICAL PLAZA DR, CHARLESTON, SC 29406(843) 574-5693(843) 764-4512 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2024, Jul 18, 2023 (2 updates tracked since 2023).

About Dr. Blake Ryan Hollowoa Md NPPES

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

DR. BLAKE RYAN HOLLOWOA MD (NPI 1871099499) is an individual plastic surgery within the head & neck provider in Charleston, South Carolina, licensed in Tennessee (71712) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Tristar Centennial Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1871099499
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameDR. BLAKE RYAN HOLLOWOACredential: MD
Location Address9228 MEDICAL PLAZA DRCharleston, SC 29406-9125
Mailing Address335 24th Ave NNashville, TN 37203-1503 · (615) 342-0290 · Fax (615) 342-0289
Phone(843) 574-5693
Fax(843) 764-4512
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2018
Enumeration DateApril 3, 2018
Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1871099499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in TN · 71712
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
Also ListedOtolaryngologyTaxonomy 207Y00000X · License 89309 (SC)
9228 MEDICAL PLAZA DR, Charleston, SC 29406
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Secondary Practice Locations 2

Location 14301 W Markham St # 543Little Rock, AR 72205-7101 · Phone (501) 603-1214
Location 21 Childrens Way # 543Little Rock, AR 72202-3500 · Phone (501) 603-1214

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Blake Ryan Hollowoa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991051534
PECOS Enrollment IDI20241211001191
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440161
Location2300 Patterson StreetNashville, TN 37203 · Davidson County
Emergency services Birthing friendly

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.

CHRISTOPHER JASON NGUYEN MD
Radiology (Diagnostic Radiology)
9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Charleston County (843) 876-7080
TRIDENT DENTAL ASSOCIATES, LLC
Dentist (Oral and Maxillofacial Surgery)
9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Charleston County (843) 574-5693
SARA FRANCES JASPER AGACNP-BC
Nurse Practitioner
9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Charleston County (843) 574-5693
DR. BRADLEY ROBERT BERNARD M.D.
Family Medicine
9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Charleston County (843) 572-8277
HANNAH KINKEAD CCC-SLP
Speech-Language Pathologist
9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Charleston County (843) 574-5693
DR. STUART BAILEY MBBS,BSC,MPHIL
Otolaryngology
9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Charleston County (843) 574-5693
DR. JOHN BURK M.D.
Family Medicine
9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Charleston County (843) 792-2300
MICHELLE KATHRYN RUSE DDS
Oral & Maxillofacial Surgery
9228 MEDICAL PLAZA DR
CHARLESTON, SC 29406
Charleston County (843) 574-5693

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blake Hollowoa's NPI number?

The NPI number for Blake Hollowoa is 1871099499. It was assigned to this individual provider in the NPPES registry on April 3, 2018.

Where is Blake Hollowoa located?

Blake Hollowoa practices at 9228 Medical Plaza Dr, Charleston, SC 29406. The listed phone number is (843) 574-5693.

What is Blake Hollowoa's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Blake Hollowoa enrolled in Medicare?

Yes. Blake Hollowoa is registered in the Medicare PECOS enrollment system.

What insurance does Blake Hollowoa accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 3 other insurers list Blake Hollowoa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Blake Hollowoa affiliated with any hospitals?

According to CMS data, Blake Hollowoa is affiliated with Tristar Centennial Medical Center.

When was this NPI record last updated?

The NPPES record for Blake Hollowoa was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.