CRYSTAL M HOLMES (NPI# 1497838312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497838312 |
| Entity Type | Individual |
| Full Name | CRYSTAL M HOLMES |
| Credential | DPM |
| Practice Address |
24 Frank Lloyd Wright Drive Ann Arbor MI 48105-9484 |
| Mailing Address |
3621 S State St Ann Arbor MI 48108-1633 |
| Practice Telephone | 7349982450 |
| Mailing Telephone | 7346475299 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2019-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
5901002210 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4864055 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497203335 | Crystal Holmes | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2016-09-21 |
| 1598183139 | Crystal Holmes | Case Manager/Care Coordinator | 1502 Mary Kay Blvd, Benton, AR 72015-8909 | 2014-04-01 |
| 1407141963 | Crystal Holmes | Technician | 19401 Northline Rd, Southgate, MI 48195-2277 | 2011-06-13 |
| 1639316508 | Crystal Delaine Holmes | Counselor | 3801 3rd St Ste 400, San Francisco, CA 94124-1409 | 2009-01-14 |
| Street Address |
24 FRANK LLOYD WRIGHT DRIVE |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-9484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457384067 | Regents of The University of Michigan | Orthopaedic Surgery | 24 Frank Lloyd Wright Drive, Lobby A, Ann Arbor, MI 48105 | 2006-07-08 |
| 1245732791 | Jamie Wisniewski | Physical Therapy Assistant | 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48106 | 2018-03-01 |
| 1164924627 | Amanda Renea Eggleston | Physical Therapy Assistant | 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48106 | 2018-03-01 |
| 1942736194 | Kelsey Lauren Johnson | Physician Assistant | 24 Frank Lloyd Wright Drive, Domino's Farms, Lobby A, Ann Arbor, MI 48105-9484 | 2017-05-10 |
| 1801291315 | Progressive Sleep, Plc | Family Medicine | 24 Frank Lloyd Wright Drive, Lobby A, Ann Arbor, MI 48106-0326 | 2014-10-27 |
| 1033524335 | Regents of The University of Michigan | Pediatrics | 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48105 | 2014-06-25 |
| 1033524764 | Daniel Shelden | Internal Medicine | 24 Frank Lloyd Wright Drive, Lobby G, Suite 1500, Ann Arbor, MI 48106 | 2014-06-20 |
| 1427327618 | Karen Engfehr | Specialist/Technologist | 24 Frank Lloyd Wright Drive, Ann Arbor, MI 48106-0391 | 2011-12-19 |
| 1245521848 | Elizabeth Anne Jeffery | Nurse Practitioner | 24 Frank Lloyd Wright Drive, Lobby M Level 2, Ann Arbor, MI 48105-9484 | 2011-04-29 |
| 1578881041 | Mari Paz Castanedo Tardan | Dermatology | 24 Frank Lloyd Wright Drive, Lobby H Suite 2350, Ann Arbor, MI 48105-9484 | 2010-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487763306 | Daniel John Sellinger | Podiatrist | 2340 E Stadium Blvd, Suite 5, Ann Arbor, MI 48104-4823 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770104994 | Precision Podiatry Pllc | Podiatrist | 1621 E Broomfield St Ste B, Mt Pleasant, MI 48858-5427 | 2020-04-28 |
| 1154663235 | Radu Dan Purtuc | Podiatrist | 422 N Center St Ste B, Northville, MI 48167-1224 | 2013-03-26 |
| 1649419300 | Total Loving Care & Podiatric Services, P.C. | Podiatrist | 15324 Michigan Ave, Dearborn, MI 48126-2917 | 2009-02-19 |
| 1912143389 | Tameka Parham Taylor | Podiatrist | 29425 Northwestern Hwy Ste 125, Southfield, MI 48034-1083 | 2009-01-06 |
| 1558515072 | Kristi S Schons Dpm Inc | Podiatrist | 3036 Voorheis Lake Ct, Lake Orion, MI 48360-1867 | 2008-11-11 |
| 1790938926 | Northern Foot & Ankle Centers PC | Podiatrist | 4656 E F 41, Oscoda, MI 48750-2227 | 2008-10-31 |
| 1801080650 | Brandon A West | Podiatrist | 1266 S Commerce Rd, Walled Lake, MI 48390-3008 | 2007-09-04 |
| 1467664904 | Spartan Podiatry PC | Podiatrist | 1600 South Kalamazoo Ave., Marshall, MI 49068 | 2007-05-04 |
| 1831219542 | Foot and Ankle Group, P.C. | Podiatrist | 6533 E Jefferson Ave Apt 317, Detroit, MI 48207-4361 | 2007-03-29 |
| 1548385156 | Paul Mallamo | Podiatrist | 52526 Ford Ln, Chesterfield, MI 48047-3514 | 2007-03-20 |
| Find all providers with the same taxonomy | ||||
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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.