TIMOTHY ELI HOLMSTROM (NPI# 1346326204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346326204 |
Entity Type | Individual |
Full Name | TIMOTHY ELI HOLMSTROM |
Credential | MS, PA-C, ATC, CSCS |
Practice Address |
825 Se Bishop Blvd Ste 120 Pullman WA 99163-5517 |
Practice Telephone | 5093322828 |
Practice Fax Number | 5093347474 |
Mailing Telephone | 5093322828 |
Mailing Fax Number | 5093347474 |
Enumeration Date | 2006-10-31 |
Last Update Date | 2011-01-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60197224 | WA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA 60197224 | WA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
825 SE BISHOP BLVD STE 120 |
City | PULLMAN |
State | WA |
Zip Code | 99163-5517 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588279202 | Inland Orthopaedic Surgery and Sports Medicine Clinic Pllc | Orthopaedic Surgery | 825 Se Bishop Blvd Ste 120, Pullman, WA 99163-5517 | 2020-09-10 |
1952831083 | Kyle Hazelwood Md Pllc | Orthopaedic Surgery | 825 Se Bishop Blvd Ste 120, Pullman, WA 99163-5517 | 2017-06-12 |
1144411943 | Edwin M. Tingstad, Md Pllc | Orthopaedic Surgery | 825 Se Bishop Blvd Ste 120, Pullman, WA 99163-5517 | 2007-08-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003445255 | Jennifer Beattie | Specialist/Technologist | 1360 Cougar Way, Pullman, WA 99163 | 2020-04-08 |
1245715788 | Chirs Sader | Specialist/Technologist | Cougar Way, Bohler Addition, Pullman, WA 99163 | 2018-10-01 |
1588158307 | Stefanie Clark | Massage Therapist | 1205 Se Bishop Blvd, Suite #109, Pullman, WA 99163 | 2018-06-15 |
1023523859 | Madeleine Degrasse | Specialist/Technologist | 1580 Ne Cougar Way, 265, Coleman, WA 99163 | 2017-12-01 |
1720517188 | Chelsea Michelle Luna | Specialist/Technologist | 705 Nw State St, Pullman, WA 99163 | 2017-06-08 |
1649706185 | Travis Reid Edwards | Specialist/Technologist | 1455 Ne Colorado St, Pullman, WA 99163 | 2017-05-03 |
1053775403 | Anna Grindeland | Dietitian, Registered | 555 Se Water St, Pullman, WA 99163 | 2016-04-12 |
1487991741 | Yoko Jingi | Specialist/Technologist | 1225 S Grand Ave., Pullman, WA 99163 | 2013-01-07 |
1003151572 | Jessie M Armstrong | Speech-Language Pathologist | 1805 Nw Canyonview Drive, Pullman, WA 99163 | 2012-12-10 |
1679827877 | Schweitzer Engineering Laboratories | Clinic/Center | 2440 Ne Hopkins Ct., Pullman, WA 99163 | 2012-11-09 |
Find all providers in zip 99163 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356346712 | Michael Lounsbury | Physician Assistant | 825 Se Bishop Blvd Ste 200, Pullman, WA 99163-5537 | 2005-06-14 |
1942541859 | Abby Myers Howard | Physician Assistant | 1125 Se Washington Street, Po Box 642302, Pullman, WA 99164 | 2013-03-04 |
1588852503 | Kevin W Cardwell | Physician Assistant | 1125 Se Washington St, Pullman, WA 99164-2484 | 2007-10-04 |
1235296492 | Todd B Bledsoe | Physician Assistant | 825 Se Bishop Blvd Ste 200, Pullman, WA 99163-5537 | 2007-01-03 |
1437234036 | Sue Y Cole | Physician Assistant | 825 Se Bishop Blvd Ste 200, Pullman, WA 99163-5537 | 2006-10-25 |
1205814662 | Joann M Tracy | Physician Assistant | 915 Ne Valley Rd, Pullman, WA 99163 | 2006-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033735618 | Gavin Guard | Physician Assistant | 818 Mullis St Ste 6, Friday Harbor, WA 98250-7986 | 2020-06-19 |
1578110862 | Kaitlin E. Brotman | Physician Assistant | 315 Holton Ave Ste 100, Yakima, WA 98902-3245 | 2019-08-21 |
1700345196 | Kara Lynn Kime | Physician Assistant | 1200 Cooper Point Rd Sw Ste 100, Olympia, WA 98502-1172 | 2019-03-15 |
1679056824 | Katharine Loco-marshall | Physician Assistant | 4816 She-nah-num Drive, Olympia, WA 98513 | 2018-09-13 |
1841791274 | Sjs, Pllc | Physician Assistant | 900 Ocean Beach Hwy Ste B, Longview, WA 98632-4013 | 2018-02-21 |
1063928448 | Heidi April | Physician Assistant | 1410 N Pittsburgh St, Building A, Kennewick, WA 99336-8211 | 2017-12-20 |
1194251983 | Christopher Joseph Stanley | Physician Assistant | 1010 Ne Lilac St Apt 301, Issaquah, WA 98029-7878 | 2017-05-11 |
1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
1801344601 | Jessica Ann Pettitt | Physician Assistant | 21200 Ne 190th Ct, Battle Ground, WA 98604-9636 | 2016-09-21 |
1407300098 | Joshua David Evans | Physician Assistant | 9040 Jackson Ave Mchj Clq C, Tacoma, WA 98431-1100 | 2016-08-11 |
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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.