DR. WILLIAM J HOLM (NPI# 1164451530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164451530 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM J HOLM |
| Credential | M.D. |
| Practice Address |
425 Pine Ridge Blvd Suite 211 Wausau WI 54401-4123 |
| Practice Telephone | 7158455505 |
| Practice Fax Number | 7158482884 |
| Mailing Telephone | 7158455505 |
| Mailing Fax Number | 7158482884 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 46753020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICARE RAILROAD | P00143615 | 01 |
| WI | MANAGED HEALTH CARE | 34556300 | 01 |
| WI | 34556300 | 05 | |
| WI | SECURITY HEALTH PLAN | 92283 | 01 |
| WI | WPS | HOLM | 01 |
| WI | SECURITY HEALTH MEDICAID | 92283 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558556530 | William L Holm | Pediatrics | 1401 Avocado Ave, Newport Beach, CA 92660-7720 | 2007-09-12 |
| 1568685857 | William A Holm | Pathology | 1100 Carson Ave, La Junta, CO 81050-2751 | 2007-04-11 |
| Street Address |
425 PINE RIDGE BLVD SUITE 211 |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401-4123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679573463 | David Albert Nash | Physician Assistant | 425 Pine Ridge Blvd, Ste 209, Wausau, WI 54401-4123 | 2005-07-22 |
| 1518471838 | Sara Belle Starr | Nurse Practitioner | 425 Pine Ridge Blvd, Wausau, WI 54401-4123 | 2017-11-22 |
| 1346768009 | James Kenneth Harris | Nurse Anesthetist, Certified Registered | 425 Pine Ridge Blvd, Wausau, WI 54401-4123 | 2017-09-01 |
| 1255878237 | Jonathan A Levin | Nurse Anesthetist, Certified Registered | 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 | 2017-01-27 |
| 1013453497 | Elliott Adent | Nurse Anesthetist, Certified Registered | 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 | 2017-01-10 |
| 1134664121 | Jennifer Young | Nurse Practitioner | 425 Pine Ridge Blvd, Wausau, WI 54401 | 2016-12-29 |
| 1164967568 | Zjia Anita Manzanares Evans | Registered Nurse | 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 | 2016-12-21 |
| 1255704763 | Kimberly Kramer | Nurse Anesthetist, Certified Registered | 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 | 2015-11-05 |
| 1982071270 | Wendy J Mattlin | Nurse Practitioner | 425 Pine Ridge Blvd, Suite220a, Wausau, WI 54401-4123 | 2015-08-21 |
| 1750770640 | Amy Jo Hanneman | Nurse Practitioner | 425 Pine Ridge Blvd, Suite 300, Wausau, WI 54401-4123 | 2015-01-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194025833 | Suzanne G.h. Low | Anesthesiology | 6209 Lakeshore Dr., Wausau, WI 54401-7753 | 2010-10-28 |
| 1568771293 | Peter Tongbak Koh | Anesthesiology | 6209 Lakeshore Dr, Wausau, WI 54401-7753 | 2010-09-29 |
| 1518999648 | Central Wisconsin Anesthesiology | Anesthesiology | 425 Pine Ridge Boulevard, Suite 211, Wausau, WI 54401 | 2006-07-07 |
| 1831432624 | Michael Ting | Anesthesiology | 425 Pine Ridge Boulevard, Wausau, WI 54401 | 2013-04-01 |
| 1760618623 | Nathan D Grabher | Anesthesiology | 425 Pine Ridge Blvd, Wausau, WI 54401-4123 | 2009-06-05 |
| 1437328614 | Timothy John Moran | Anesthesiology | 425 Pine Ridge Blvd, Wausau, WI 54401-4123 | 2008-02-21 |
| 1699966820 | Michael Joseph Hodek | Anesthesiology | 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 | 2007-08-05 |
| 1376752147 | Thomas Roy Hogan | Anesthesiology | 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 | 2007-05-21 |
| 1700981388 | S Paul Kim | Anesthesiology | 2727 Plaza Drive, Wausau, WI 54401 | 2006-09-14 |
| 1780606517 | Jeffrey Palarski | Anesthesiology | 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 | 2006-07-24 |
| Find all providers in WAUSAU | ||||
Please comment or provide details below to improve the information on DR. WILLIAM J HOLM.
| 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.