MARK IRVIN HOLUB (NPI# 1720038714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720038714 |
Entity Type | Individual |
Full Name | MARK IRVIN HOLUB |
Credential | MD |
Practice Address |
1406 6th Ave N St Cloud MN 56303 |
Practice Telephone | 3202512700 |
Practice Fax Number | 3206567026 |
Mailing Telephone | 3202512700 |
Mailing Fax Number | 3206567026 |
Enumeration Date | 2006-05-11 |
Last Update Date | 2012-12-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
33545 | MN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 826305100 | 05 |
Street Address |
1406 6TH AVE N |
City | ST CLOUD |
State | MN |
Zip Code | 56303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588743561 | Michael S Currie | Nurse Anesthetist, Certified Registered | 1406 6th Ave N, St Cloud, MN 56303 | 2006-11-02 |
1639285596 | Masahiko Sato | Marriage & Family Therapist | 1406 6th Ave N, St Cloud Hospital - Recovery Plus, St Cloud, MN 56303 | 2006-08-22 |
1245267566 | Gregory A Schlosser | Physical Medicine & Rehabilitation | 1406 6th Ave N, St Cloud, MN 56303-1900 | 2006-06-26 |
1992755052 | Jon C Bowar | Psychiatry & Neurology | 1406 6th Ave N, St Cloud, MN 56303 | 2006-05-11 |
1699724104 | Cynthia A Sandberg | Nurse Practitioner | 1406 6th Ave N, St Cloud, MN 56303 | 2006-05-10 |
1245206291 | Debra S Lalley | Registered Nurse | 1406 6th Ave N, St Cloud Hospital Behavioral Health Clinic, St Cloud, MN 56303 | 2006-02-28 |
1770559148 | Mark Elmer Hoffmann | Emergency Medicine | 1406 6th Ave N, St Cloud Hospital Emergency Trauma Center, St Cloud, MN 56301 | 2006-02-27 |
1346216512 | Renee Linda Funk | Physician Assistant | 1406 6th Ave N, St Cloud, MN 56303-1901 | 2006-02-27 |
1881660306 | David Lee Frederickson | Emergency Medicine | 1406 6th Ave N, St Cloud, MN 56303-1901 | 2006-02-24 |
1831165604 | Jeffrey Carl Windschitl | Emergency Medicine | 1406 6th Ave N, St Cloud, MN 56303-1901 | 2006-02-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
Find all providers in zip 56303 |
Taxonomy Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740658814 | Matthew Albert Peckskamp | Psychiatry & Neurology | 1406 6th Avenue North, St Cloud Hospital, St Cloud, MN 56303-1900 | 2015-09-08 |
1548677974 | Joshua Robert Ackerman | Psychiatry & Neurology | 1406 6th Avenue North, St Cloud Hospital, St Cloud, MN 56303-1901 | 2014-07-17 |
1740609254 | Stephen Robert Talsness | Psychiatry & Neurology | 1406 6th Avenue North, St Cloud Hospital, St Cloud, MN 56303-1901 | 2014-04-11 |
1871835900 | Mahesh Kumar | Psychiatry & Neurology | 1406 6th Avenue North, St Cloud Hospital, St Cloud, MN 56303-1901 | 2013-03-27 |
1073833067 | Melissa Ann Perry | Psychiatry & Neurology | 1406 6th Avenue North, St. Cloud Hospital, St Cloud, MN 56303-1901 | 2010-06-02 |
1265639140 | Piyush Das | Psychiatry & Neurology | 1586 County Road 134, Centracare Clinic Sleep Center, St Cloud, MN 56303-0346 | 2007-07-02 |
1386728707 | John Preston Daniels | Psychiatry & Neurology | 1406 6th Avenue North, St Cloud Hospital, St Cloud, MN 56303-1901 | 2006-10-24 |
1922019231 | James Benjamin Christenson | Psychiatry & Neurology | 1406 6th Avenue North, St Cloud Hospital, St Cloud, MN 56303-1900 | 2006-08-11 |
1487690426 | Roger P Handrich | Psychiatry & Neurology | 1321 13th St N, St Cloud, MN 56303-2614 | 2006-06-20 |
1568406387 | Kent Charles Davis | Psychiatry & Neurology | 1321 13th St N, St Cloud, MN 56303-2614 | 2006-06-15 |
Find all providers in ST CLOUD |
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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.