Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marcy N Holloway, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1114180122

Marcy N Holloway, PHYSICIANASSISTANT is a Physician Assistant in Las Vegas, Nevada. Qualified in 2001, 25 years ago. Practices with Optum Medical Group II Rhodes P C, a 302-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
25
Licensed in
PA
In the registry since
2008
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Practice location Address checks out

8670 W Cheyenne Ave UNIT1
Las Vegas, NV 89129-7456
Phone: (702) 750-3425
Fax: (702) 750-3434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA051159 (PA)

Record details

NPI number1114180122
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJuly 9, 2008
Last updated in NPPESJanuary 17, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Optum Medical Group Ii Rhodes P C — 302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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