MR. CORRIN N HOLM SR. (NPI# 1104016989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104016989 |
| Entity Type | Individual |
| Full Name | MR. CORRIN N HOLM SR. |
| Credential | RPA(CBRPA) |
| Practice Address |
1009 W Green St Radiology Hastings MI 49058-1710 |
| Mailing Address |
1009 W Green St Hastings MI 49058-1710 |
| Practice Telephone | 2699451212 |
| Mailing Telephone | 2699453451 |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2010-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 247100000X | Radiologic Technologist | Technologists, Technicians & Other Technical Service Providers | ||
| N | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 243U00000X | Radiology Practitioner Assistant | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1009 W GREEN ST RADIOLOGY |
| City | HASTINGS |
| State | MI |
| Zip Code | 49058-1710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023001146 | Pennock Hospital | General Acute Care Hospital | 1009 W Green St, Hastings, MI 49058-1710 | 2005-08-24 |
| 1467050880 | Bettina L Jones | Dietitian, Registered | 1009 W Green St, Hastings, MI 49058-1710 | 2020-10-16 |
| 1053927442 | Christina Marie Lindahl | Physician Assistant | 1009 W Green St, Hastings, MI 49058-1710 | 2020-09-21 |
| 1174141386 | Matthew Clay Slotman | Nurse Practitioner | 1009 W Green St, Hastings, MI 49058-1710 | 2020-07-14 |
| 1023643293 | Colleen Patricia Garber | Dietitian, Registered | 1009 W Green St, Hastings, MI 49058-1710 | 2020-03-09 |
| 1730712407 | Kelsey Townley | Dietitian, Registered | 1009 W Green St, Hastings, MI 49058-1710 | 2020-02-20 |
| 1760024558 | Megan Mcconnell | Physician Assistant | 1009 W Green St, Hastings, MI 49058-1710 | 2019-10-13 |
| 1942767470 | Eric Michael Smith | Nurse Practitioner | 1009 W Green St, Hastings, MI 49058-1710 | 2019-02-20 |
| 1508321456 | Lyndi Jo Henry | Nurse Practitioner | 1009 W Green St, Hastings, MI 49058-1710 | 2019-02-05 |
| 1578036091 | Jacob R Deboni | Nurse Practitioner | 1009 W Green St, Hastings, MI 49058-1710 | 2019-01-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760941942 | Valerie Joy Gardiner | Licensed Practical Nurse | 1359 Avon St, Hastings, MI 49058 | 2019-03-18 |
| 1538528633 | Forefront Dermatology, S.c. | Dermatology | 1761 W M 43 Hwy Ste 2, Hastings, MI 49058 | 2016-02-17 |
| 1376936807 | Angels On The Go | Home Health | 959 1/2 Williams Dr., Hastings, MI 49058 | 2015-03-09 |
| 1134524226 | Forefront Dermatology, S.c. | Dermatology | 1005 W. Green Street, Suite 200, Hastings, MI 49058 | 2014-10-31 |
| 1417385493 | James Edgar Atkinson | Family Medicine | 2425 Kathryn Drive, Hastings, MI 49058 | 2013-10-29 |
| 1689006918 | Bosley Pharmacy No. 2 Inc | Pharmacy | 118 S. Jefferson St., Hastings, MI 49058 | 2013-08-09 |
| 1740539345 | Kristen Burpee | Physical Therapist | 535 W. Woodlawn, Hastings, MI 49058 | 2012-08-29 |
| 1932344819 | Timothy York Adams | Counselor | 1100 Willitts Rd, Hastings, MI 49058 | 2008-12-08 |
| 1689820169 | Jennifer L Nobert | Physician Assistant | 1005 W Green St Ste 202, Hastings Internal Medicine, Hastings, MI 49058 | 2008-08-15 |
| 1457578072 | Sue Ellen Eastman | Social Worker | 350 Meadow Run Drive, #3, Hastings, MI 49058 | 2007-04-18 |
| Find all providers in zip 49058 | ||||
| Taxonomy Code | 243U00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiology Practitioner Assistant |
| A Radiology Practitioner Assistant (RPA) is a health professional certified as a registered radiographer with the American Registry of Radiologic Technologists (ARRT) and, in addition, is credentialed to provide primary radiology health care with radiologist supervision. Radiology Practitioner Assistants are qualified by graduation from an educational program recognized by the Board of Directors of athe Certification Board for Radiology Practitioner Assistants (CBRPA) and certified by the CBRPA. Within the Radiologist/RPA relationship, Radiology Practitioner Assistants exercise autonomy in decision making in the role of a primary caregiver with regard to patient assessment, patient management and in providing a broad range of radiology diagnostic and interventional services. The clinical role of the Radiology Practitioner Assistant includes primary and specialty care in radiology practice settings in rural and urban areas. |
| Notes: Source: Certification Board of Radiology Practitioner Assistants [7/1/2008: new] Additional Resources: www.cbrpa.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760781926 | Michael Thomas Fishburn | Radiology Practitioner Assistant | 28837 W Kalong Cir, Southfield, MI 48034-5665 | 2011-03-26 |
| 1538697628 | Lori Janel Hart | Radiology Practitioner Assistant | 601 John St, Kalamazoo, MI 49007-5341 | 2017-06-01 |
| 1033434261 | Lynda Bartosh | Radiology Practitioner Assistant | 416 Connable Ave, Petoskey, MI 49770-2212 | 2010-03-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.