JAMES SHAWN HOLDERMANN (NPI# 1902824253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902824253 |
| Entity Type | Individual |
| Full Name | JAMES SHAWN HOLDERMANN |
| Credential | D.P.M. |
| Practice Address |
490 Murphy Rd Medford OR 97504-8144 |
| Practice Telephone | 5417795227 |
| Practice Fax Number | 5417791938 |
| Mailing Telephone | 5417795227 |
| Mailing Fax Number | 5417791938 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2008-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | DP00351 | OR | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 299111 | 05 |
| Street Address |
490 MURPHY RD |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922032960 | Holdermann, Inc | Podiatrist | 490 Murphy Rd, Medford, OR 97504-8144 | 2006-07-10 |
| 1659699585 | Brian Kreul Md PC | Specialist | 490 Murphy Rd, Medford, OR 97504-8144 | 2010-05-17 |
| 1366768699 | William David Goforth | Podiatrist | 490 Murphy Rd, Medford, OR 97504-8144 | 2010-04-12 |
| 1013935360 | Heather Aileen Holdermann | Podiatrist | 490 Murphy Rd, Medford, OR 97504-8144 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437339868 | North Atlantic Podiatry, P.C. | Podiatrist | 83 Sheridan Ave, Medford, MA 02155-4042 | 2007-11-14 |
| 1528166485 | Evan Chard Merrill | Podiatrist | 1904 E Barnett Rd, Medford, OR 97504-8262 | 2006-09-21 |
| 1013021070 | Foot Health Centers, P.a. | Podiatrist | 25 Jackson Rd, Suite D, Medford, NJ 08055-9220 | 2006-08-18 |
| 1538175187 | Jack E Luber | Podiatrist | 425 Salem St, Medford, MA 02155-3337 | 2006-08-01 |
| 1922032960 | Holdermann, Inc | Podiatrist | 490 Murphy Rd, Medford, OR 97504-8144 | 2006-07-10 |
| 1154387272 | Dan Seligman | Podiatrist | Zero Governors Ave, Suite 7, Medford, MA 02155-0001 | 2006-04-26 |
| 1720058522 | Michael F Wooster | Podiatrist | 700-6 Patchogue Yaphank Rd, Medford, NY 11763 | 2006-01-24 |
| 1922009356 | Burlington County Foot & Ankle Assoc, Inc | Podiatrist | 520 Stokes Road, Suite C-5, Medford, NJ 08055 | 2005-08-09 |
| 1467458737 | John L Sherman | Podiatrist | 26 City Hall Mall, Medford, MA 02155-4754 | 2005-06-22 |
| 1609266261 | Louie Lu Shou | Podiatrist | 131 Rte 70 W, Ste 100, Medford, NJ 08055-0805 | 2015-02-03 |
| Find all providers in MEDFORD | ||||
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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.