DR. GRADY MICHAEL HOLDER (NPI# 1366543902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366543902 |
| Entity Type | Individual |
| Full Name | DR. GRADY MICHAEL HOLDER |
| Other Name | MR. MICHAEL HOLDER |
| Credential | MD |
| Practice Address |
11005 Ralston Rd Suite 100g Arvada CO 80004-4551 |
| Mailing Address |
3701 S Broadway Englewood CO 80113-3611 |
| Practice Telephone | 3034310844 |
| Practice Fax Number | 3034566124 |
| Mailing Telephone | 3033606276 |
| Mailing Fax Number | 3034675355 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2016-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DR.0028219 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01282193 | 05 | |
| CO | DEA | BH2816671 | 01 |
| CO | CAQH | 10354697 | 01 |
| Street Address |
11005 RALSTON RD SUITE 100G |
| City | ARVADA |
| State | CO |
| Zip Code | 80004-4551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043252968 | Ruth Finley Knight | Physician Assistant | 11005 Ralston Rd, Suite 100g, Arvada, CO 80004-4551 | 2006-06-12 |
| 1891192001 | Lindsey Hagerty | Dental Hygienist | 11005 Ralston Rd, Ste. 210, Arvada, CO 80004-4551 | 2014-12-03 |
| 1396094082 | Meghan Cito | Social Worker | 11005 Ralston Rd, Arvada, CO 80004 | 2012-09-10 |
| 1093075491 | Metro Community Provider Network, Inc. | Clinic/Center | 11005 Ralston Rd, Arvada, CO 80004-4551 | 2012-05-21 |
| 1417277542 | Dolores Anne Sangiuliano | Registered Nurse | 11005 Ralston Rd, Arvada, CO 80004-4551 | 2010-06-11 |
| 1215254974 | Tammy Thi Do | Dental Hygienist | 11005 Ralston Rd, Suite 202, Arvada, CO 80004-4551 | 2010-04-21 |
| 1144469784 | Sung W Cho | Dentist | 11005 Ralston Rd, Suite 202, Arvada, CO 80004-4551 | 2009-02-05 |
| 1275653917 | Larry D Ward | Dentist | 11005 Ralston Rd, Arvada, CO 80004-4551 | 2007-03-29 |
| 1851432405 | Kelly Laing-hall | Licensed Practical Nurse | 11005 Ralston Rd, Suite 102, Arvada, CO 80004-4551 | 2007-02-08 |
| 1275672461 | Diane Barnes | Nurse Practitioner | 11005 Ralston Rd, Suite 100 - G, Arvada, CO 80004-4551 | 2007-02-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326503194 | Flynn Behavior Associates | Behavioral Analyst | 13185 W 62nd Place, Arvada, CO 80004 | 2019-02-06 |
| 1124543384 | Zoe Denver Nelson | Counselor | 9850 W 59th Pl, Arvada, CO 80004 | 2017-08-09 |
| 1982134573 | Cynthia Jean Keefover | Physical Therapy Assistant | 6625 Union St, Arvada, CO 80004 | 2017-06-15 |
| 1235680257 | Uma Sitaula | Nurse Practitioner | 12650 W 64th Ave Unit E 105, Arvada, CO 80004 | 2016-10-14 |
| 1124494091 | Alan Ross Hofman | Physical Therapist | 5945 Ward Rd Ste 110, Arvada, CO 80004 | 2015-08-14 |
| 1770969917 | Jennifer Lynn Johnson | Day Training/Habilitation Specialist | 6725 Yarrow St., Arvada, CO 80004 | 2015-08-10 |
| 1649680414 | Johanna Meister | Community Health Worker | 7603 Robinson Way, Arvada, CO 80004 | 2014-05-02 |
| 1922346915 | Ashley L Saylor | Chiropractor | 10050 Ralston Rd. Suite E, Arvada, CO 80004 | 2013-01-25 |
| 1225382906 | Alison Schut | Nurse Practitioner | 12650 W 64th Ave Ste E501, Arvada, CO 80004 | 2012-11-02 |
| 1881984102 | Green Leaf Massage Center. LLC | Health Maintenance Organization | 11890 W.64th Avenue, Arvada, CO 80004 | 2011-04-08 |
| Find all providers in zip 80004 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265791198 | Shawn Glazer | Family Medicine | 7450 W 52nd Ave # M130, Arvada, CO 80002-3747 | 2012-05-12 |
| 1710273420 | Cole Anthony Zanetti | Family Medicine | 8175 Sheridan Blvd, Arvada, CO 80003-1956 | 2011-06-21 |
| 1700184678 | Ryan J Parsons | Family Medicine | 11803 W 84th Pl, Arvada, CO 80005-5183 | 2011-03-02 |
| 1225270135 | Lisa My Nguyen | Family Medicine | 15240 W 64th Ave, Arvada, CO 80007-7511 | 2009-03-25 |
| 1568653236 | Jon G. Shick, D.o., LLC | Family Medicine | 7850 Vance Dr Ste 185, Arvada, CO 80003-2127 | 2007-08-07 |
| 1740480706 | Stephanie R. Christie | Family Medicine | 7950 Kipling St., Ste # 101, Arvada, CO 80005 | 2007-07-18 |
| 1780880419 | Ellice K Goldberg-zirinsky, Do PC | Family Medicine | 12001 W 63rd Place, Arvada, CO 80004 | 2007-06-21 |
| 1679642136 | David Warren Yamamoto | Family Medicine | 7768 Vance Dr, Suite B, Arvada, CO 80003-2102 | 2006-11-07 |
| 1306946728 | Long Term Care and Rehab Consultants | Family Medicine | 12650 W 64th Ave Unit E501, Arvada, CO 80004-3893 | 2006-09-25 |
| 1538261235 | Reza S Esfahani | Family Medicine | 12650 W. 64th Avenue, Unit E501, Arvada, CO 80004 | 2006-09-02 |
| Find all providers in ARVADA | ||||
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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.