DR. MICHAEL GLEN HOLTHOUSER (NPI# 1891979043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891979043 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL GLEN HOLTHOUSER |
| Credential | MD MPH |
| Practice Address |
4674 Snow Mesa Dr Fort Collins CO 80528-8615 |
| Mailing Address |
2695 Rocky Mountain Ave Sute 150 Loveland CO 80538-8702 |
| Practice Telephone | 9704958450 |
| Practice Fax Number | 9702976599 |
| Mailing Telephone | 9706244420 |
| Mailing Fax Number | 9706244459 |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2012-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
19648 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
4674 SNOW MESA DR |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80528-8615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497758403 | Desiree M Shaw | Physical Therapist | 4674 Snow Mesa Dr, Suite 140, Fort Collins, CO 80528-8615 | 2005-05-23 |
| 1124570601 | Alexandra M Skogen | Physician Assistant | 4674 Snow Mesa Dr, Ste 140, Fort Collins, CO 80528-8615 | 2016-10-31 |
| 1023477528 | Valerie Webb | Massage Therapist | 4674 Snow Mesa Dr, Suite 200, Fort Collins, CO 80528-8615 | 2016-02-12 |
| 1942674239 | Rebecca Watson | Dietitian, Registered | 4674 Snow Mesa Dr, Suite 140, Fort Collins, CO 80528-8615 | 2015-11-24 |
| 1780087189 | Kristi R Bermingham | Social Worker | 4674 Snow Mesa Dr, Suite 140, Fort Collins, CO 80528-8615 | 2014-09-30 |
| 1124427182 | Bender Medical Group | Social Worker | 4674 Snow Mesa Dr, Ste 140, Fort Collins, CO 80528-8615 | 2014-08-15 |
| 1316174022 | Bryan Kent Reichert | Family Medicine | 4674 Snow Mesa Dr, Suite 140, Fort Collins, CO 80528-8615 | 2009-06-20 |
| 1528200243 | Michael J Asmus | Registered Nurse | 4674 Snow Mesa Dr, Suite 200, Fort Collins, CO 80528-8615 | 2009-03-26 |
| 1497997340 | Paul Patrick Braunlin | Physical Therapist | 4674 Snow Mesa Dr, Suite 200, Fort Collins, CO 80528-8615 | 2009-03-24 |
| 1336380120 | Barbara Ann Walden | Physical Therapist | 4674 Snow Mesa Dr, Suite 200, Fort Collins, CO 80528-8615 | 2009-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
| 1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
| 1790231413 | Pineridge Healthcare, Inc. | Skilled Nursing Facility | 4880 Ziegler Road, Fort Collins, CO 80528 | 2016-09-01 |
| 1750647244 | Annika Svea Kamberelis | Physician Assistant | 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528 | 2012-04-09 |
| 1831481944 | Natasha E. Walter-fisk | Counselor | 5225 White Willow Dr. M220, Fort Collins, CO 80528 | 2011-05-07 |
| 1629216627 | Augusto Miravalle | Psychiatry & Neurology | 2121 E. Harmony Road, Suite 180, Ft Collins, CO 80528 | 2009-01-29 |
| 1114100252 | Alicia R. Young | Psychologist | 8010 S Country Road 5, Suite 201, Windsor, CO 80528 | 2007-12-12 |
| 1346446903 | Jill Marie Olson | Psychiatry & Neurology | 2121 E. Harmony Road #180, Fort Collins, CO 80528 | 2007-06-21 |
| 1437368578 | Shelley M Oliver | Orthopaedic Surgery | 2121 E. Harmony Rd. Ste 290, Fort Collins, CO 80528 | 2007-05-22 |
| 1174748008 | Light of The Rockies Christian Counseling Center | Clinic/Center | 5236 Strauss Cabin Rd, Fort Collins, CO 80528 | 2007-04-16 |
| Find all providers in zip 80528 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144847476 | Poudre Valley Medical Group, LLC | Preventive Medicine | 2315 E Harmony Rd Ste 170, Fort Collins, CO 80528-8620 | 2020-07-02 |
| 1821629155 | Poudre Valley Medical Group, LLC | Preventive Medicine | 151 W Lake St Ste 1500, Fort Collins, CO 80524-4124 | 2020-01-27 |
| 1215242417 | Poudre Valley Medical Group, LLC | Preventive Medicine | 2315 E Harmony Rd Ste 170, Fort Collins, CO 80528-8620 | 2010-08-11 |
| 1114064474 | Tracey Stefanon | Preventive Medicine | 4674 Snow Mesa Dr, Suite 200, Fort Collins, CO 80528-8615 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894963 | Scl Health Medical Group - Denver, LLC | Preventive Medicine | 8515 W Coal Mine Ave Ste 240, Littleton, CO 80123-4429 | 2020-09-04 |
| 1568070944 | Scl Health Medical Group - Denver, LLC | Preventive Medicine | 8350 Colorado Blvd Unit 160, Firestone, CO 80504-6803 | 2020-07-21 |
| 1275171977 | Poudre Valley Medical Group, LLC | Preventive Medicine | 2773 Janitell Rd, Colorado Springs, CO 80906-4102 | 2019-12-13 |
| 1548776784 | Telecare Global LLC | Preventive Medicine | 11 Salvation Circle, Aspen, CO 81611 | 2017-12-26 |
| 1306363650 | Bonnie Belinda Mccafferty | Preventive Medicine | Denver Federal Center, Federal Occupational Health, Building 25, Entrance E-14, Lakewood, CO 80225-0145 | 2017-08-28 |
| 1447784087 | Colorado Occupational Partners, Inc. | Preventive Medicine | 1390 S Potomac St Ste 136, Aurora, CO 80012-4529 | 2017-04-19 |
| 1992040786 | Homefront Health and Occupational Medicine LLC | Preventive Medicine | 1705 32nd St., Evans, CO 80620 | 2012-12-05 |
| 1144598855 | Daniel Thau Teitelbaum | Preventive Medicine | 355 Ogden St, Denver, CO 80218-3867 | 2011-12-08 |
| 1952604985 | Michael Verne Ladwig | Preventive Medicine | 6900 E 47th Avenue Dr Ste 100, Denver, CO 80216-3449 | 2010-12-14 |
| 1831374776 | Lisa Beth Ferstenberg | Preventive Medicine | 302 W Orman Ave, Pueblo, CO 81004-1855 | 2008-01-09 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80528 |
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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.