LAURA ELIZABETH HOLZUM (NPI# 1770870776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770870776 |
| Entity Type | Individual |
| Full Name | LAURA ELIZABETH HOLZUM |
| Credential | M.D. |
| Practice Address |
3878 Pershall Rd Ferguson MO 63135-1246 |
| Practice Telephone | 3148397500 |
| Mailing Telephone | 3148397500 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2020-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 2019042541 | MO | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 036-134840 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 036134840 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17577 Arrow Blvd, Fontana, CA 923354011 | 9098900407 | 9098900575 |
| Street Address |
3878 PERSHALL RD |
| City | FERGUSON |
| State | MO |
| Zip Code | 63135-1246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033199062 | April L. Tyus-myles | Pediatrics | 3878 Pershall Rd, Ferguson, MO 63135-1246 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487147559 | Rising Star Home Health Care LLC | Home Health | 1578 Knollstone Dr, Ferguson, MO 63135 | 2018-06-12 |
| 1396265617 | Rosemark Care LLC | In Home Supportive Care | 1212 Hudson Hills, Saint Louis, MO 63135 | 2017-06-27 |
| 1881066074 | Grandma's Hands In-home Services LLC | In Home Supportive Care | 119 Church Street Suite 121, Ferguson, MO 63135 | 2015-10-27 |
| 1518364983 | Rescued Home Health Svc Inc | Home Health | 1438 Chambers Rd, St Louis, MO 63135 | 2014-12-01 |
| 1164860375 | Let's Talk Teen Clinic Inc. | Clinic/Center | 119 Church Street, Suite 131, Ferguson, MO 63135 | 2013-06-10 |
| 1003169657 | Robyn L. Lawrence Dc, PC | Chiropractor | 111 Church St., Suite 111, Ferguson, MO 63135 | 2012-10-19 |
| 1528343308 | Bryan Victor Schneider | Pharmacist | 190 North Florrisant Rd, Ferguson, MO 63135 | 2011-10-12 |
| 1336457845 | The Sanctuary Adult Program, LLC | Nursing Care | 1440 Chambers Rd, Saint Louis, MO 63135 | 2010-09-17 |
| 1265639090 | Lrt Professional Health Services Inc | Home Health | 602 Hunters Ridge Dr, Ferguson, MO 63135 | 2007-06-27 |
| 1225160146 | Easter Seals Midwest | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 303 Calverton Road, St. Louis, MO 63135 | 2007-03-09 |
| Find all providers in zip 63135 | ||||
| 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 |
|---|---|---|---|---|
| 1033199062 | April L. Tyus-myles | Pediatrics | 3878 Pershall Rd, Ferguson, MO 63135-1246 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114537222 | Natalie Joan Wilson | Pediatrics | 1463 Us Hwy 61, Suite C, Festus, MO 63028-6302 | 2020-08-04 |
| 1538786413 | Melissa An | Pediatrics | 1 Childrens Pl Ste 3s36, Saint Louis, MO 63110-1002 | 2020-06-26 |
| 1033731500 | Jessica N Zeiss | Pediatrics | 981 Highway K, Rhineland, MO 65069-2214 | 2020-05-07 |
| 1538795547 | Virtualnicu | Pediatrics | 10 Warridge Dr, Saint Louis, MO 63124-1166 | 2020-03-21 |
| 1811528656 | Children's Mercy-cockerell and Mcintosh Pediatrics, Inc | Pediatrics | 205 Nw R D Mize Rd Ste 304, Blue Springs, MO 64014-2520 | 2020-01-30 |
| 1134780430 | Jane Reardon | Pediatrics | 8140 Ward Pkwy Ste 275, Kansas City, MO 64114-2032 | 2019-06-26 |
| 1174082887 | Kristen Steinmeyer | Pediatrics | 714 Peace Haven Ct, Saint Louis, MO 63125-5404 | 2019-03-13 |
| 1023574365 | Saint Francis Medical Center | Pediatrics | 2210 Barron Rd Ste 120, Poplar Bluff, MO 63901-1908 | 2019-02-12 |
| 1215402011 | Ayse Bahar Budan Caliskan | Pediatrics | Washington University, St. Louis Children's Hospital, One Children's Place, 4n1, St. Louis, MO 63110-1002 | 2018-10-08 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers with the same taxonomy | ||||
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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.