JEAN A HOLTHAUS (NPI# 1619929437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619929437 |
| Entity Type | Individual |
| Full Name | JEAN A HOLTHAUS |
| Credential | CNP |
| Practice Address |
4015 Executive Park Dr Ste 406 Cincinnati OH 45241-4017 |
| Mailing Address |
Po Box 632778 Cincinnati OH 45263-2778 |
| Practice Telephone | 5135696747 |
| Practice Fax Number | 5135696988 |
| Mailing Telephone | 5138917574 |
| Mailing Fax Number | 5137931032 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-11-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NP-06838 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RAILROAD MEDICARE | P00287513 | 01 |
| OH | 2592494 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396863635 | Jean Marie Holthaus | Counselor | 2209 Sw 29th St, Topeka, KS 66611-1908 | 2007-03-26 |
| 1992733182 | Jean Marie Holthaus | Social Worker | 2611 Washington Street, Pella, IA 50219-1257 | 2006-06-28 |
| Street Address |
4015 EXECUTIVE PARK DR STE 406 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45241-4017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720081151 | Andrew D Grubbs | Internal Medicine | 4015 Executive Park Dr, Ste 406, Cincinnati, OH 45241-4017 | 2005-05-31 |
| 1942245626 | Andrew D Grubbs | Internal Medicine | 4015 Executive Park Dr, Ste 406, Cincinnati, OH 45241-4017 | 2006-06-18 |
| 1073552311 | Claudia Hoffmann | Psychologist | 4015 Executive Park Dr, Ste. 406, Cincinnati, OH 45241-4017 | 2006-06-05 |
| 1942255526 | Sigward Psychological Associates | Psychologist | 4015 Executive Park Dr, Ste 406, Cincinnati, OH 45241-4017 | 2006-05-23 |
| 1144271180 | George K Knight IIi | Nurse Practitioner | 4015 Executive Park Dr, Suite 406, Cincinnati, OH 45241-4017 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891348512 | Ultimate Rehab, Ltd. | Physical Therapy Assistant | 11305 Reed Hartman Hwy., Ste. 226, Cincinnati, OH 45241 | 2019-07-22 |
| 1548787682 | Brian Eversole | Community Health Worker | 11156 Canal Road, #a, Cincinnati, OH 45241 | 2017-08-29 |
| 1013464544 | Emily Niehaus | Specialist/Technologist | 10040 Bennington Drive, Cincinnati, OH 45241 | 2016-09-01 |
| 1003274523 | Samuel Cogen | Specialist/Technologist | 4480 Classic Dr, Blue Ash, OH 45241 | 2016-01-29 |
| 1023420940 | Suzette Kies | Physical Therapist | 3900 Cottingham Drive, Princeton City Schools, Cincinnati, OH 45241 | 2014-05-27 |
| 1457770703 | Timothy Craig Wylie | Podiatrist | 10475 Reading Rd Ste 308, Cincinnati, OH 45241 | 2014-04-15 |
| 1295150027 | Lisa Brackmann | Speech-Language Pathologist | 11150 Maple Avenue, Cincinnati, Ohio, OH 45241 | 2014-03-04 |
| 1740602416 | Karyn Bransford | Nurse Anesthetist, Certified Registered | 9306 Brandy Wine Ln, West Chester, OH 45241 | 2014-01-14 |
| 1144586868 | Nichole Sherrie Hickman | Counselor | 300 E Business Way Ste 200, Cincinnati, OH 45241 | 2012-04-06 |
| 1497044846 | Garrett Alexander Seghi | Dentist | 11438 Lebanon Pike (rt.42), Suite # F, Cincinnati, OH 45241 | 2011-04-06 |
| Find all providers in zip 45241 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639543176 | Trihealth G LLC | Nurse Practitioner | 10498 Montgomery Rd Ste D, Cincinnati, OH 45242-4416 | 2015-11-20 |
| 1104255447 | Patricia Adkins | Nurse Practitioner | 344 Princess Ct, Cincinnati, OH 45215-1013 | 2013-11-07 |
| 1922449859 | Arianna N Warfel | Nurse Practitioner | 4750 E Galbraith Rd Ste 210, Cincinnati, OH 45236-6705 | 2013-07-08 |
| 1881931764 | Mary Kay Barth | Nurse Practitioner | 5719 Kiplingwood Dr, Cincinnati, OH 45239-6609 | 2013-01-11 |
| 1215245147 | Alexis Santee Ranalli | Nurse Practitioner | 10525 Montgomery Rd., Cincinnati, OH 45242-4401 | 2010-09-14 |
| 1801929559 | Anna Maria Fox | Nurse Practitioner | 2123 Auburn Ave Ste 440, Cincinnati, OH 45219 | 2007-03-13 |
| 1346377835 | Mary Catherine Brady | Nurse Practitioner | 430 Deanview Dr, Cincinnati, OH 45224-1415 | 2007-02-28 |
| 1376603886 | Planned Parenthood Southwest Ohio Region | Nurse Practitioner | 2314 Auburn Avenue, Cincinnati, OH 45219 | 2006-12-12 |
| 1700861234 | Mindi Gardner | Nurse Practitioner | 4600 Montgomery Rd, Ste 105, Cincinnati, OH 45212-2697 | 2005-12-07 |
| 1619958436 | Pamela Phares | Nurse Practitioner | 1401 Steffen Ave, Cincinnati, OH 45215-2338 | 2005-11-09 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45241 |
Please comment or provide details below to improve the information on JEAN A HOLTHAUS.
| 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.