DR. JOHN DANIEL HOLSTINE (NPI# 1205833746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205833746 |
| Entity Type | Individual |
| Full Name | DR. JOHN DANIEL HOLSTINE |
| Credential | MD |
| Practice Address |
800 Medical Center Dr Fairmont MN 56031-4575 |
| Practice Telephone | 5072356036 |
| Practice Fax Number | 5072358882 |
| Mailing Telephone | 5072356036 |
| Mailing Fax Number | 5072358882 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2012-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | 17358 | IA | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 19394 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 691768200 | 05 | |
| RAILROAD MEDICARE | 341095099 | 01 | |
| IOWA MEDICAL ASSIST. | 0951178 | 01 |
| Street Address |
800 MEDICAL CENTER DR |
| City | FAIRMONT |
| State | MN |
| Zip Code | 56031-4575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295355022 | Elizabeth Marie Rummel | Dietitian, Registered | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2020-04-22 |
| 1568082543 | Karyn Riewe | Occupational Therapist | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2020-04-20 |
| 1245875111 | Alicia Marie Anderson | Family Medicine | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2019-11-14 |
| 1063068062 | Jauclyn Renee Green | Nurse Practitioner | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2019-08-15 |
| 1689220733 | Maria Angela Doran-threat | Nurse Practitioner | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2019-08-14 |
| 1972087849 | Sara Lorraine Snyder | Nurse Practitioner | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2018-09-18 |
| 1205314960 | Maureen Muigai | Internal Medicine | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2018-08-03 |
| 1538655436 | Allison Nicole Young | Pharmacist | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2018-07-03 |
| 1053823716 | Michelle Larae Geerdes | Occupational Therapist | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2017-11-02 |
| 1255843934 | Stephanie Lynn Andersen | Speech-Language Pathologist | 800 Medical Center Dr, Fairmont, MN 56031-4575 | 2017-11-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407097025 | David Robert Rynders | Counselor | 301 Downtown Plaza, #3, Fairmont, MN 56031 | 2009-03-11 |
| 1992902449 | Wal-mart Stores, Inc. | Technician/Technologist | 1250 Goemann Road, Fairmont, MN 56031 | 2007-06-28 |
| 1417099813 | Thomas Joe Larson | Dentist | 800 Clinic Circle, Fairmont, MN 56031 | 2007-02-13 |
| 1912076795 | Rem Heartland Inc | Intermediate Care Facility, Mentally Retarded | 111 Dorothy Street, Fairmont, MN 56031 | 2006-11-07 |
| 1750466322 | Rem Heartland Inc | Intermediate Care Facility, Mentally Retarded | 107 Dorothy Street, Fairmont, MN 56031 | 2006-10-25 |
| 1588744155 | Kerri Lynn Henderson | Chiropractor | 115 1/2 West Blue Earth Ave, Fairmont, MN 56031 | 2006-10-17 |
| 1427142199 | Maurice Lee Shoen | Counselor | 115 West First St, Fairmont, MN 56031 | 2006-10-03 |
| 1538253703 | Nathan Craig Jorgenson | Dentist | 717 South State Street, Suite 600, Fairmont, MN 56031 | 2006-10-03 |
| 1942311154 | Leon James Rochovitz | Optometrist | 288 S State Street, Five Lakes Centre, Fairmont, MN 56031 | 2006-08-31 |
| 1215903414 | Mayo Clinic Hospital-rochester | Clinic/Center | 835 Johnson Street, Fairmont, MN 56031 | 2006-02-27 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255939286 | Joseph Marconni Sewell Araya | Urology | 11920 Baypoint Dr, Burnsville, MN 55337-3367 | 2020-10-12 |
| 1922599737 | Subodh Kumar Regmi | Urology | Department of Urology, University of Minnesoata, 420 Delaware St S.e., Mmc 394, Minneapolis, MN 55455 | 2018-05-29 |
| 1700281953 | Centracare Clinic | Urology | 2351 Connecticut Ave S, Suite 200, Centracare Clinic- Adult & Pediatric Urology, Sartell, MN 56377-2477 | 2014-10-30 |
| 1154734127 | Abhinav Khanna | Urology | 200 First Street Nw, Rochester, MN 55905-0001 | 2014-06-08 |
| 1427476662 | Khushabu Kasabwala | Urology | 420 Delaware St. S. E., Mmc 394, Minneapolis, MN 55455 | 2014-04-04 |
| 1518302181 | Daniel Liberman | Urology | 420 Delaware Stre Se, Suite B435, Institute for Prostrate and Urologic Cancers, Minneapolis, MN 55455-0341 | 2013-05-08 |
| 1386981637 | Urology Associates, Ltd. | Urology | 244 7th Street North, Mora, MN 55051 | 2013-01-07 |
| 1831445691 | Urology Associates, Ltd. | Urology | 111 Hundertmark Rd Ste 410, 212 Medical Building, Chaska, MN 55318-1458 | 2012-07-31 |
| 1841590593 | Hakim Medical Enterprises, P.a. | Urology | 2963 Fairchild Ave, Wayzata, MN 55391-2956 | 2010-10-28 |
| 1164747085 | Joseph Robert Nelson Zabell | Urology | 6363 France Ave S Ste 500, Edina, MN 55435-2135 | 2010-04-03 |
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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.