MATTHEW HOLTHAUS (NPI# 1225582778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225582778 |
| Entity Type | Individual |
| Full Name | MATTHEW HOLTHAUS |
| Credential | PA-C |
| Practice Address |
1324 Lakeland Hills Blvd Lakeland FL 33805-4543 |
| Mailing Address |
5431 N Range Way Beverly Hills FL 34465-2150 |
| Practice Telephone | 8636871100 |
| Practice Fax Number | 8636871192 |
| Mailing Telephone | 3107484951 |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9109699 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1324 LAKELAND HILLS BLVD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-4543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760489900 | James Francis Murray II | Obstetrics & Gynecology | 1324 Lakeland Hills Blvd, Pavilion, Lakeland, FL 33508 | 2005-07-01 |
| 1144821059 | Jennifer Mclaughlin | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-11-06 |
| 1861092595 | Hortense Marcia Watson | Registered Nurse | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-10-30 |
| 1073129953 | Lilia Yakubov | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-09-16 |
| 1093340374 | Rashika Battle | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-03-07 |
| 1871128363 | Maria Lana Barnes | Registered Nurse | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-03-05 |
| 1710519129 | Joshua Parker Thompson | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2020-02-04 |
| 1932741683 | Katie Elizabeth Deines | Registered Nurse | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2019-10-15 |
| 1700428968 | Jasmine Nazirbage | Nurse Practitioner | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2019-10-09 |
| 1578104824 | Kristopher Dillon Wilson | Physician Assistant | 1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543 | 2019-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
| Find all providers in zip 33805 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710549787 | Nadia Hasan | Physician Assistant | 4316 Us Highway 98 N, Lakeland, FL 33809-3848 | 2019-07-01 |
| 1235528753 | Christia Mccann | Physician Assistant | 4120 Us Hwy. 98 N., One Lakeland Square, Lakeland, FL 33809 | 2015-01-21 |
| 1336493428 | Mallory Moody Putnam | Physician Assistant | 2615 Fairmount Ave, Lakeland, FL 33803-3159 | 2012-10-29 |
| 1760545859 | Harry E Hindi | Physician Assistant | 3522 S Florida Ave, Lakeland, FL 33803-4858 | 2006-12-19 |
| 1649354812 | Jamie Lee Durchin | Physician Assistant | 1409 Meadowbrook Ave, Lakeland, FL 33803-2528 | 2006-10-24 |
| 1821072190 | Kristen Leigh Heristchi | Physician Assistant | 135 East First St., Lakeland, FL 33805-4557 | 2005-12-01 |
| 1578544045 | Lisa Korin | Physician Assistant | 1755 N. Florida Avenue, Lakeland, FL 33805 | 2005-11-10 |
| 1669453221 | Kim G Cole | Physician Assistant | 202 Lake Miriam Dr Ste S1, Lakeland, FL 33813-2188 | 2005-11-10 |
| 1740804673 | Brian Win | Physician Assistant | 130 Pablo St, Lakeland, FL 33803-3818 | 2020-06-06 |
| 1972045870 | Hannah Vaughn | Physician Assistant | 3670 Innovation Dr, Lakeland, FL 33812-4105 | 2016-11-08 |
| Find all providers in LAKELAND | ||||
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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.