ALVIN C. HOLM, MD, FACP, PA (NPI# 1417078940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417078940 |
| Entity Type | Organization |
| Organization Name | ALVIN C. HOLM, MD, FACP, PA |
| Practice Address |
559 Capitol Blvd Saint Paul MN 55103-2101 |
| Practice Telephone | 6513262173 |
| Practice Fax Number | 6512322588 |
| Mailing Telephone | 6513262173 |
| Mailing Fax Number | 6512322588 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ALVIN CLARK HOLM (PRESIDENT) |
| Authorized Official Telephone | 6513262173 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
30351 | MN | Allopathic & Osteopathic Physicians |
| Street Address |
559 CAPITOL BLVD |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55103-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114987245 | Karen E. Miller | Internal Medicine | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2006-03-24 |
| 1659911089 | Mitchell Allen Peterson | Physical Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2020-01-14 |
| 1134689193 | Jeremy Tvrdik | Physical Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-03-24 |
| 1932666518 | Eliesa Woggon | Occupational Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-03-01 |
| 1558828228 | Tina Denise Stone | Occupational Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-02-28 |
| 1053877514 | Jennifer Joy Rovn | Physical Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-02-20 |
| 1154887685 | Danetta Lavell | Occupational Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-02-20 |
| 1437659190 | Riley Odom | Nurse Practitioner | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2018-02-19 |
| 1215476437 | Kayla Appleby | Social Worker | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2017-02-21 |
| 1659821452 | Jenna Jenkins | Speech-Language Pathologist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2016-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148161 | Najma Group Home LLC | Home Health | 494 Aurora Ave, St Paul, MN 55103 | 2019-11-12 |
| 1164910121 | Linda's A Mother's Touch | Registered Nurse | 727 Front Ave Apt 606, St. Paul, MN 55103 | 2018-04-25 |
| 1215432380 | Olidia Transit Inc | Non-emergency Medical Transport (VAN) | 476 W Minnehaha Ave, Saint Paul, MN 55103 | 2018-03-29 |
| 1730579764 | Leah Angela Vibar | Chiropractor | 616 Rice Street Ste. B, Moua-lor Chiropractic & Acupuncture, P.a., St. Paul, MN 55103 | 2015-01-29 |
| 1629372479 | Korme Koji | Registered Nurse | 413 Central Avenue, St Paul, MN 55103 | 2011-01-07 |
| 1427360114 | Olydia Home Care Inc | Home Health | 476 West Minnehaha Ave, Saint Paul, MN 55103 | 2010-07-09 |
| 1699908277 | Kathleen Mae Borchert | Clinical Nurse Specialist | 559 Capitol Bloulevard, St. Paul, MN 55103 | 2009-08-28 |
| 1164690442 | Chong Pao Thao | Technician | 23 Empire Drive, Suite 123, St Paul, MN 55103 | 2008-02-20 |
| 1245366806 | Quality Plus Home Healthcare Services Inc | Home Health | 383 University Ave W. Upper, St Paul, MN 55103 | 2007-02-26 |
| 1023176286 | Amherst H. Wilder Foundation | Assisted Living Facility | 280 Ravoux St, Saint Paul, MN 55103 | 2006-12-04 |
| Find all providers in zip 55103 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023039377 | George Nicholas Battis Jr. | Internal Medicine | 400 Robert St N # 13-3996, Saint Paul, MN 55101-2037 | 2006-07-22 |
| 1164074787 | Kristen Engstrom | Internal Medicine | 640 Jackson St, Saint Paul, MN 55101 | 2019-07-13 |
| 1265529663 | Lissa N Chipeco | Internal Medicine | 401 Phalen Blvd, Ms 41103f, Saint Paul, MN 55130-5302 | 2006-10-06 |
| 1265546188 | Alvin C Holm | Internal Medicine | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2006-08-18 |
| 1487629424 | Michael T Spilane | Internal Medicine | 401 Phalen Blvd, Ms 41103f, Saint Paul, MN 55130-5302 | 2006-02-22 |
| 1952376527 | Kenneth D Engberg | Internal Medicine | 2500 Como Ave, Saint Paul, MN 55108 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083268189 | Mission Creek Transitional Care Pllc | Internal Medicine | 520 Marshall St, Duluth, MN 55803-1981 | 2019-07-26 |
| 1275191736 | Howide Eldib | Internal Medicine | 4728 Lyndale Ave S Apt 1, Minneapolis, MN 55419-5304 | 2019-05-30 |
| 1689007940 | David Pautz | Internal Medicine | 6313 Westwood Ct, Edina, MN 55436-1149 | 2013-08-09 |
| 1033465505 | Manji Belinda Osifeso | Internal Medicine | 790 West 66th Street, Hcmc Richfield Clinic, Richfield, MN 55423 | 2012-08-01 |
| 1508147224 | Jane Carol Pederson | Internal Medicine | 9478 Wedgewood Dr, Woodbury, MN 55125-9304 | 2011-09-08 |
| 1336445899 | Diane Helen Scott | Internal Medicine | 2545 Hamline Ave N, Apt 211, Roseville, MN 55113 | 2011-02-01 |
| 1497981286 | House Call Specialists, Pllc | Internal Medicine | 115 Oregon Ave S, Golden Valley, MN 55426-1561 | 2009-06-07 |
| 1952582744 | Maged Labib | Internal Medicine | 1920 Mineral Springs Pkwy, Owatonna, MN 55060-2186 | 2007-11-20 |
| 1912118522 | Bernadette Kim Quadling | Internal Medicine | 1415 Lilac Dr N, Ste 190, Golden Valley, MN 55422-4544 | 2007-05-25 |
| 1912046988 | Margaret Rice, Md, Pa | Internal Medicine | 4901 Garfield Ave, Minneapolis, MN 55419-5403 | 2007-02-06 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55103 |
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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.