DR. WILLIAM A HOLM (NPI# 1568685857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568685857 |
Entity Type | Individual |
Full Name | DR. WILLIAM A HOLM |
Credential | MD |
Practice Address |
1100 Carson Ave La Junta CO 81050-2751 |
Mailing Address |
Po Box 1080 La Junta CO 81050-1080 |
Practice Telephone | 7193847734 |
Mailing Telephone | 7193846577 |
Mailing Fax Number | 7193842441 |
Enumeration Date | 2007-04-11 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
16595 | CO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 01165950 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558556530 | William L Holm | Pediatrics | 1401 Avocado Ave, Newport Beach, CA 92660-7720 | 2007-09-12 |
1164451530 | William J Holm | Anesthesiology | 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 | 2006-06-30 |
Street Address |
1100 CARSON AVE |
City | LA JUNTA |
State | CO |
Zip Code | 81050-2751 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760489470 | Arkansas Valley Regional Medical Center | Pathology | 1100 Carson Ave, La Junta, CO 81050-2751 | 2005-07-07 |
1144889916 | Amy Proctor | Physical Therapist | 1100 Carson Ave, La Junta, CO 81050-2751 | 2019-06-06 |
1609320514 | Arkansas Valley Regional Medical Center | Nurse Anesthetist, Certified Registered | 1100 Carson Ave, La Junta, CO 81050-2751 | 2016-08-09 |
1073961413 | Arkansas Valley Regional Medical Center Swing Bed | Medicare Defined Swing Bed Unit | 1100 Carson Ave, La Junta, CO 81050-2751 | 2016-05-26 |
1023414810 | Vickie Farnsworth | Pharmacist | 1100 Carson Ave, Dept of Pharmacy, La Junta, CO 81050-2751 | 2014-11-06 |
1275940496 | Kellie Logue | Nurse Anesthetist, Certified Registered | 1100 Carson Ave, La Junta, CO 81050-2751 | 2014-07-21 |
1629320239 | Michael Alvin Bergondo | Social Worker | 1100 Carson Ave, Suite 104, La Junta, CO 81050-2751 | 2012-10-05 |
1669747093 | Arkansas Valley Regional Medical Center | Pathology | 1100 Carson Ave, La Junta, CO 81050-2751 | 2012-03-19 |
1720238355 | Jessica Aaron Fief | Physical Therapy Assistant | 1100 Carson Ave, La Junta, CO 81050-2751 | 2008-09-18 |
1093964348 | Crystal Rose Thomas | Physical Therapist | 1100 Carson Ave, La Junta, CO 81050-2751 | 2008-09-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225658057 | Poudre Valley Medical Group, LLC | Internal Medicine | 2315 San Juan Avenue, La Junta, CO 81050 | 2020-04-22 |
1316589567 | Southeast Mental Health Services | Clinic/Center | 721 Barnes Ave, La Junta, CO 81050 | 2019-10-09 |
1164945127 | Susan Ann Workman | Clinical Nurse Specialist | 13 West Third Street, Room 111, La Junta, CO 81050 | 2017-07-21 |
1952774465 | Ryan T Anderson Ddc PC | Clinic/Center | 13 E 4th St., La Junta, CO 81050 | 2015-11-05 |
1083086524 | Ryan Taylor Anderson | Dentist | 13 East 4th Street, La Junta, CO 81050 | 2015-10-23 |
1902287329 | Shanna Kay Riley | Case Manager/Care Coordinator | 711 Barnes Ave., La Junta, CO 81050 | 2015-06-11 |
1548668593 | Joseph Wayne Lee | Licensed Practical Nurse | 1203 Holt Ln, Lajunta, CO 81050 | 2014-12-08 |
1730506809 | Down To Earth Dentistry, LLC. | Dentist | 17 W. 4th St., La Junta, CO 81050 | 2014-03-26 |
1154668275 | Arkansas Valley Hearing Center, Inc | Hearing Aid Equipment | 408 West 3rd St, La Junta, CO 81050 | 2013-01-09 |
1710223698 | Timothy Eugene Kelley | Counselor | 313 West Third Street, Suite 204, La Junta, CO 81050 | 2012-12-20 |
Find all providers in zip 81050 |
Taxonomy Code | 207ZP0105X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pathology |
Specialization | Clinical Pathology/Laboratory Medicine |
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760489470 | Arkansas Valley Regional Medical Center | Pathology | 1100 Carson Ave, La Junta, CO 81050-2751 | 2005-07-07 |
1669747093 | Arkansas Valley Regional Medical Center | Pathology | 1100 Carson Ave, La Junta, CO 81050-2751 | 2012-03-19 |
1275756587 | High Plains Pathlogy Consultants P.C. | Pathology | 1100 Carson Ave, La Junta, CO 81050-2751 | 2007-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275731614 | Chad Botz | Pathology | 13001 East 17th Place, Fitzsimons Building Suite E3360, Campus Box B119, Aurora, CO 80045-0001 | 2007-07-06 |
1538149380 | Michael J Benziger | Pathology | 800 S 3rd Street, Montrose, CO 81401-4212 | 2006-01-18 |
1801418140 | Neuroganics LLC | Pathology | 10190 Bannock St Ste 102, Northglenn, CO 80260-6052 | 2020-05-09 |
1467643122 | Annika M Svensson | Pathology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2007-08-07 |
1275602385 | Steve Groshong | Pathology | 1400 Jackson St, Denver, CO 80206-2761 | 2006-11-06 |
1700976339 | Edward R. Ashwood | Pathology | 12605 E 16th Ave, University of Colorado Hospital, Aurora, CO 80045-2545 | 2006-10-13 |
1386759850 | Johanna L Nardi-korver | Pathology | 777 Bannock St, Mc 7782, Denver, CO 80204-4507 | 2006-08-21 |
1033122247 | Shalini Chahal | Pathology | 4567 E 9th Ave, Denver, CO 80220-3908 | 2006-08-15 |
1144233156 | Ward Melvin Newcomb | Pathology | 3600 S Logan St, Suite 110, Englewood, CO 80113-3766 | 2006-08-14 |
1053335703 | Loretta B Gaido | Pathology | 777 Bannock St, Mc 7782, Denver, CO 80204-4507 | 2006-07-26 |
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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.