DR. JEFFREY KENT HOLEN (NPI# 1407805492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407805492 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY KENT HOLEN |
| Credential | M.D. |
| Practice Address |
11274 Mccombs St El Paso TX 79934-3455 |
| Mailing Address |
200 Corporate Blvd Lafayette LA 70508-3870 |
| Practice Telephone | 9152422400 |
| Practice Fax Number | 9158222160 |
| Mailing Telephone | 8008939698 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2019-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 34232 | OK | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | P6639 | TX | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 39160 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 76125742 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 Carson Ave, La Junta, CO 810502751 | 9703142644 | |
| 1301 E Lincoln Rd, Idabel, OK 747457300 | 5802867623 | 5802083199 |
| 13600 Horizon Blvd Ste 100, Horizon City, TX 799285810 | 9154077878 | 9158521804 |
| Street Address |
11274 MCCOMBS ST |
| City | EL PASO |
| State | TX |
| Zip Code | 79934-3455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992298665 | Peter Andrew Brock | Family Medicine | 11274 Mccombs St, El Paso, TX 79934-3455 | 2018-06-07 |
| 1861994808 | Hcn Ep Horizon City, LLC | General Acute Care Hospital | 11274 Mccombs St, El Paso, TX 79934 | 2018-03-06 |
| 1033648589 | Anisha Malhotra | Emergency Medicine | 11274 Mccombs St, El Paso, TX 79934-3455 | 2017-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516329 | Patriot Skilled Nursing and Rehabilitation LLC | Skilled Nursing Facility | 11490 Gateway N Blvd., El Paso, TX 79934 | 2020-07-31 |
| 1215493416 | Patriot Rehabilitation and Wellness Center LLC | Skilled Nursing Facility | 11490 Gateway North Blvd., El Paso, TX 79934 | 2019-02-13 |
| 1114409950 | Ricardo Macias | Physical Therapist | 11385 Cattle Ranch St., El Paso, TX 79934 | 2018-08-29 |
| 1124557582 | Maria Cristina Tollens | Registered Nurse | 11149 Loma Escondida Dr, El Paso, TX 79934 | 2017-06-08 |
| 1275915407 | Karla Durig | Day Training/Habilitation Specialist | 11609 Ochre Bluff Ln, El Paso, TX 79934 | 2015-06-24 |
| 1285919241 | Perri D Walter | Counselor | 4353 Loma De Brisas, El Paso, TX 79934 | 2011-10-20 |
| 1912203506 | Pm Management - El Paso I Nc LLC | Skilled Nursing Facility | 11169 Sean Haggerty, El Paso, TX 79934 | 2011-01-31 |
| 1487856761 | Louis E Zuniga | Physical Therapist | 4758 Loma Del Sur, Suite A, El Paso, TX 79934 | 2007-05-31 |
| 1023083789 | Aaron R Elliott | Registered Nurse | William Beaumont Army Medical Center, 5005 North Piedras St., El Paso, TX 79934 | 2006-02-17 |
| 1679076780 | Maday Cristina Lopez | Nurse Practitioner | 7305 Oriley Ln, El Paso, TX 79934-2220 | 2018-03-14 |
| Find all providers in zip 79934 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134761331 | Cep America LLC | Emergency Medicine | 4669 Cohen Ave, El Paso, TX 79924 | 2019-10-09 |
| 1982110219 | Nuch of Texas | Emergency Medicine | 1801 N Zaragoza Rd Ste A, El Paso, TX 79936-7926 | 2017-12-22 |
| 1104366632 | Nuch of Texas | Emergency Medicine | 7480 Paseo Del Norte Blvd, El Paso, TX 79912 | 2017-03-02 |
| 1194171553 | Glenn Edwin Guy II | Emergency Medicine | 10601 Sombra Verde Dr, El Paso, TX 79935-3612 | 2016-05-04 |
| 1245593581 | Steven Joseph Bednarczyk | Emergency Medicine | 10710 Gateway Blvd N Ste B2, El Paso, TX 79924-1741 | 2012-06-21 |
| 1548564446 | Sol City Urgent Care Physicians Pllc | Emergency Medicine | 11380 Gateway Blvd N, El Paso, TX 79934-3380 | 2011-01-06 |
| 1699086991 | Edna Melina Chavez-gelo | Emergency Medicine | 4329 Donnybrook Pl, El Paso, TX 79902-1312 | 2010-07-01 |
| 1851602908 | Ebony Rucker | Emergency Medicine | 5041 Alabama St, Apt. 161, El Paso, TX 79930-2633 | 2010-06-23 |
| 1821257577 | Brook Rene Wager | Emergency Medicine | 4801 Alberta Ave # B3200, El Paso, TX 79905-2707 | 2008-06-07 |
| 1194907519 | Del Norte Emergency Physician's, Pllc | Emergency Medicine | 1755 Curie Dr Ste A, El Paso, TX 79902-2920 | 2007-11-27 |
| Find all providers in EL PASO | ||||
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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.