DR. ISABEL FERNANDEZ-HOLTZMAN (NPI# 1629182852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629182852 |
| Entity Type | Individual |
| Full Name | DR. ISABEL FERNANDEZ-HOLTZMAN |
| Credential | M.D. |
| Practice Address |
714 Gravois Rd Ste. 200 Fenton MO 63026-7727 |
| Practice Telephone | 6363495437 |
| Practice Fax Number | 6363496663 |
| Mailing Telephone | 6363495437 |
| Mailing Fax Number | 6363496663 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2002012674 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
714 GRAVOIS RD STE. 200 |
| City | FENTON |
| State | MO |
| Zip Code | 63026-7727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407856396 | Damon R. Broyles | Family Medicine | 714 Gravois Rd, Suite 210, Fenton, MO 63026-7727 | 2005-07-21 |
| 1619441201 | Christina Lynn Roeder | Nurse Practitioner | 714 Gravois Rd, Fenton, MO 63026-7723 | 2019-01-16 |
| 1437638764 | Stacia Smith | Nurse Practitioner | 714 Gravois Rd, Fenton, MO 63026-7723 | 2018-08-08 |
| 1093231151 | Kristin Blair Aubuchon | Nurse Practitioner | 714 Gravois Rd, Fenton, MO 63026-7723 | 2017-08-20 |
| 1962949396 | Christine Michelle Rodesiler | Nurse Practitioner | 714 Gravois Rd, Fenton, MO 63026-7723 | 2017-01-24 |
| 1003360850 | Sheila Marie Mueller | Nurse Practitioner | 714 Gravois Rd, Fenton, MO 63026-7723 | 2016-08-10 |
| 1821456112 | Mia Glover | Nurse Practitioner | 714 Gravois Rd, Fenton, MO 63026-7723 | 2016-02-02 |
| 1144623786 | St. Anthony's Physician Organization | Obstetrics & Gynecology | 714 Gravois Rd, Ste 115, Fenton, MO 63026-7723 | 2014-09-26 |
| 1558783217 | St. Anthony's Physician Organization | Obstetrics & Gynecology | 714 Gravois Rd, Suite 220, Fenton, MO 63026-7723 | 2014-01-15 |
| 1508126889 | Vandana Dalton | Obstetrics & Gynecology | 714 Gravois Rd, Fenton, MO 63026-7723 | 2012-05-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000372 | Allison Egler | Audiologist | 1011 Bowles Ave Ste 405, Fenton, MO 63026 | 2018-01-05 |
| 1629508213 | Holly Brooks Munson | Massage Therapist | 220 Copper Mountain Dr, Fenton, MO 63026 | 2017-06-15 |
| 1073978862 | Naomi Sharon | Nurse Practitioner | 1101 Bowles Avenue, Suite G50, Fenton, MO 63026 | 2015-12-21 |
| 1871981704 | Celtic Private Care of Il & Mo, LLC | In Home Supportive Care | 1653 Larkin Williams Road, Suite 201, Fenton, MO 63026 | 2014-12-30 |
| 1356747513 | Kristina Potts | Nurse Practitioner | 774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026 | 2014-11-14 |
| 1245642420 | Physicians Health Group Medical Inc | General Practice | 960 S. Highway Dr, Fenton, MO 63026 | 2014-05-22 |
| 1598047409 | Kevin Eugene Bruce | Pharmacist | 1210 Sugar Creek, Fenton, MO 63026 | 2011-09-16 |
| 1215186382 | Concentra Health Services, Inc. | Clinic/Center | 128 Matrix Commons Dr., Fenton, MO 63026 | 2008-09-15 |
| 1790954410 | Castlewood Treatment Center LLC | Community/Behavioral Health | 1855 Bowles Ave, Suite 210, Fenton, MO 63026 | 2008-02-27 |
| 1073703617 | Christina R Baeres | Dietitian, Registered | 38 Majestic Ct, Fenton, MO 63026 | 2007-07-30 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801246053 | Daisy Zhou | Pediatrics | 714 Gravois Rd Ste 200, Fenton, MO 63026-7723 | 2016-06-20 |
| 1316239338 | Lori Hugg | Pediatrics | 1345 Smizer Mill Rd, Fenton, MO 63026-7305 | 2011-05-10 |
| 1861594525 | Chandra K Puttagunta | Pediatrics | 1122 N Leroy St, Fenton, MI 48430-2789 | 2006-09-02 |
| 1518997394 | Andrew L Karanas | Pediatrics | 10 Bowles Ave, Fenton, MO 63026 | 2006-07-04 |
| 1760429450 | Michael John Kirby | Pediatrics | 445 N Fenway Dr, Fenton, MI 48430-2666 | 2006-06-01 |
| 1790759256 | Megan C. Mcbride | Pediatrics | 832 Horan Dr, Fenton, MO 63026-2408 | 2006-02-13 |
| 1740543099 | Sarah King-glotfelty | Pediatrics | 1011 Bowles Ave Ste 300, Fenton, MO 63026 | 2012-06-21 |
| 1467747774 | Michael J Kirby Md Plc | Pediatrics | 445 N Fenway Dr, Fenton, MI 48430-2666 | 2011-06-15 |
| 1639348428 | Valerie Rose Kover | Pediatrics | 714 Gravois Rd, Ste 200, Fenton, MO 63026-7723 | 2008-02-26 |
| 1629295712 | Saint Louis University Dba Mark Herbers, M.d. | Pediatrics | 1747 Smizer Station Rd, Suite 6, Fenton, MO 63026-2784 | 2007-04-19 |
| Find all providers in FENTON | ||||
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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.