KIRK S HOLSTON (NPI# 1760462089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760462089 |
| Entity Type | Individual |
| Full Name | KIRK S HOLSTON |
| Credential | DPM |
| Practice Address |
3850 Shore Dr Suite 301 Indianapolis IN 46254-5621 |
| Mailing Address |
10332 Power Dr Carmel IN 46033-4759 |
| Practice Telephone | 3172973338 |
| Practice Fax Number | 3172979997 |
| Mailing Telephone | 3178460515 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2009-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 05001328A | IN | Allopathic & Osteopathic Physicians |
| N | 213E00000X | Podiatrist | 070000768A | IN | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
070000768A | IN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100121880 | 05 | |
| RR MCR | P00284245 | 01 | |
| IN | AETNA | 0005497063 | 01 |
| IN | TRICARE | 202158547 | 01 |
| IN | ANTHEM BCBS | 000000364510 | 01 |
| IN | 100121880A | 05 |
| Street Address |
3850 SHORE DR SUITE 301 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46254-5621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851393102 | James F Leland | Specialist | 3850 Shore Dr, Ste 305, Indianapolis, IN 46254-4693 | 2005-06-01 |
| 1376711911 | Indy Adult Medicine, LLC | Specialist | 3850 Shore Dr, Suite 113, Indianapolis, IN 46254-2609 | 2008-02-18 |
| 1588868137 | Westside Counseling & Psychologica Services, PC | Psychologist | 3850 Shore Dr, Suite 303, Indianapolis, IN 46254-5621 | 2007-06-14 |
| 1811010648 | Marilyn Ann Young | Pharmacist | 3850 Shore Dr, Suite 111, Indianapolis, IN 46254-5621 | 2007-04-08 |
| 1467573063 | Circle City Medical Group, LLC | Internal Medicine | 3850 Shore Dr, Suite 113, Indianapolis, IN 46254-5621 | 2007-04-02 |
| 1992822704 | Jerome David Silver | Internal Medicine | 3850 Shore Dr, Suite #300, Indianapolis, IN 46254-5621 | 2007-03-25 |
| 1336271568 | Indianapolis Pediatric Associates PC | Pediatrics | 3850 Shore Dr, Suite 315, Indianapolis, IN 46254-5621 | 2007-03-12 |
| 1780780023 | Midwest Foot and Ankle, LLC | Podiatrist | 3850 Shore Dr, Suite 301, Indianapolis, IN 46254-5621 | 2006-09-15 |
| 1780797522 | William K Adair | Internal Medicine | 3850 Shore Dr, Suite 113, Indianapolis, IN 46254-5621 | 2006-08-16 |
| 1356374516 | Allergy Associates of Central In | Allergy & Immunology | 3850 Shore Dr, Suite 105, Indianapolis, IN 46254-5621 | 2006-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673052 | Sanders Empowerment Services LLC | Social Worker | 5026 Clarkson Drive, Indianapolis, IN 46254 | 2020-06-09 |
| 1316587660 | Yulisa Carrera-ochoa | Behavior Technician | 6925 Parkdale Place, Indianapolis, IN 46254 | 2020-01-14 |
| 1396230140 | Emeri Taivalkoski | Registered Nurse | Eskenazi Health West 38th Street, 5515 38th St, Indianapolis, IN 46254 | 2018-06-25 |
| 1811499759 | Sara Peterson | Speech-Language Pathologist | 4102 Shore Drive, Indianapolis, IN 46254 | 2018-03-07 |
| 1427560002 | Swan Garden Home Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4906 Quail Ridge Ln, Indianapolis, IN 46254 | 2017-11-03 |
| 1477083475 | Sherry Mason | Counselor | 5959 Staffordshire Cir, Indianapolis, IN 46254 | 2017-06-13 |
| 1790111680 | The Health and Hospital Corporation of Marion County | Pharmacy | 5515 W 38th St Ste 1200, Indianapolis, IN 46254 | 2013-09-24 |
| 1790051563 | Theracare | Skilled Nursing Facility | 5356 Holly Springs Ct, Indianapolis, IN 46254 | 2012-03-27 |
| 1750659827 | Apollon | Counselor | 5362 Deer Creek Drive, Indianapolis, IN 46254 | 2011-12-05 |
| 1235413253 | Irene Williams | Pharmacist | 6269 W. 38th St, Indianapolis, IN 46254 | 2011-10-10 |
| Find all providers in zip 46254 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356853873 | Hoosier Foot & Ankle LLC | Podiatrist | 7412 Rockville Rd Ste A, Indianapolis, IN 46214-3098 | 2017-10-25 |
| 1952830499 | Britney Ann Wenig | Podiatrist | 10122 E 10th St Ste 250, Indianapolis, IN 46229-2663 | 2017-06-08 |
| 1720406564 | Rachel Chhiba | Podiatrist | 9240 N Meridian St Ste 260, Indianapolis, IN 46260 | 2014-03-30 |
| 1831436575 | Central Indiana Podiatry, PC | Podiatrist | 7098 N Shadeland Ave, Indianapolis, IN 46220-4273 | 2013-01-15 |
| 1952657157 | Alona Foot and Ankle, P.C. | Podiatrist | 3026 Tinkersfield Ln, Indianapolis, IN 46214-1601 | 2012-07-25 |
| 1740547769 | Mieasha Hicks Barksdale | Podiatrist | 1801 Senate Blvd Ste 610, Indianapolis, IN 46202 | 2012-04-15 |
| 1992986582 | Bradford Samuel Legge | Podiatrist | 5471 Georgetown Rd Ste C, Indianapolis, IN 46254-5794 | 2007-11-25 |
| 1568518314 | Irwin B. Malament Dpm A Professional Corporation | Podiatrist | 3410 N High School Rd Ste C, Indianapolis, IN 46224-1100 | 2007-01-26 |
| 1639288756 | James Louis Hilaire | Podiatrist | 7962 Oaklandon Rd, Indianapolis, IN 46236-7506 | 2006-08-30 |
| 1801827381 | Baker Foot Solutions Corp | Podiatrist | 6021 W 71st St, Suite A, Indianapolis, IN 46278-1705 | 2006-07-05 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46254 |
Please comment or provide details below to improve the information on KIRK S HOLSTON.
| 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.