Mark Holthouse (NPI# 1740217207, PAC ID# 2062582497) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1740217207 |
| PAC ID by PECOS | 2062582497 |
| Professional Enrollment ID | I20081023000638 |
| Full Name | Mark Holthouse |
| Organization Legal Name | CENTER FOR FUNCTIONAL AND INTEGRATIVE MEDICINE, INC |
| Address |
4901 Golden Foothill Pkwy C El Dorado Hills CA 95762-9632 |
| Phone Number | 5306761003 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 7618035353 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050254 | MARSHALL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4901 Golden Foothill Pkwy, C, El Dorado Hills, CA 95762-9632 | 5306761003 | CENTER FOR FUNCTIONAL AND INTEGRATIVE MEDICINE, INC |
| 4901 Golden Foothill Pkwy, El Dorado Hills, CA 95762-9632 | 5306761003 | CENTER FOR FUNCTIONAL AND INTEGRATIVE MEDICINE, INC |
| Organization Legal Name | CENTER FOR FUNCTIONAL AND INTEGRATIVE MEDICINE, INC |
| Physicians | 1 |
| Street Address |
4901 GOLDEN FOOTHILL PKWY C |
| City | EL DORADO HILLS |
| State | CA |
| Zip | 95762-9632 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Genevieve Kim Corrigan | Optometry | Genevieve Kim Corrigan Od Inc | 2209 Francisco Dr, Suite 150, El Dorado Hills, CA 95762-3805 |
| Joseph R Ambrose | Chiropractic | 350 Green Valley Rd, El Dorado Hills, CA 95762-3927 | |
| Joanne S Norton | Physical Therapy | El Dorado Physical Therapy, Inc | 907 Embarcadero Dr, El Dorado Hills, CA 95762-4087 |
| Kimberly Marlene Keilson | Physical Therapy | El Dorado Physical Therapy, Inc | 907 Embarcadero Dr, El Dorado Hills, CA 95762-4087 |
| Robert Linson | Physical Therapy | El Dorado Physical Therapy, Inc | 907 Embarcadero Dr, El Dorado Hills, CA 95762-4087 |
| Douglas James Hollabaugh | Optometry | 899 Embarcadero Dr, Suite 3, El Dorado Hills, CA 95762-4094 | |
| Sophia Danielle Suprai | Chiropractic | Angelo Chiropractic, Inc | 903 Embarcadero Dr, Suite 4, El Dorado Hills, CA 95762-4098 |
| Timothy P Angelo | Chiropractic | Angelo Chiropractic, Inc | 903 Embarcadero Dr, Suite 4, El Dorado Hills, CA 95762-4098 |
| Sarah Preiss-farzanegan | Sports Medicine | 903 Embarcadero Dr, Suite 2, El Dorado Hills, CA 95762-4098 | |
| Sheilah S Titus | Optometry | El Dorado Hills Optometric Center | 1011 Saint Andrews Dr F, El Dorado Hills, CA 95762-4255 |
| Find all physicians in zip 95762 | |||
| City | EL DORADO HILLS |
| Zip Code | 95762 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | EL DORADO HILLS + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Mark Holthouse.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.