Nicholas Ray Von Holten (NPI# 1063054278, PAC ID# 4587096607) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1063054278 |
| PAC ID by PECOS | 4587096607 |
| Professional Enrollment ID | I20191112000095 |
| Full Name | Nicholas Ray Von Holten |
| Organization Legal Name | MCLEAN COUNTY ORTHOPEDICS LTD |
| Address |
1111 Trinity Ln Suite 111 Bloomington IL 61704-8112 |
| Phone Number | 30966364611273 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2860480134 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140127 | ADVOCATE BROMENN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8112 | 30966364611273 | MCLEAN COUNTY ORTHOPEDICS LTD |
| Organization Legal Name | MCLEAN COUNTY ORTHOPEDICS LTD |
| Physicians | 36 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alissa M Recker | Physical Therapy | Mclean County Orthopedics Ltd | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8112 |
| Elizabeth K Plocher | Hand Surgery | Mclean County Orthopedics Ltd | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8112 |
| Lucas B Roth | Physician Assistant | Mclean County Orthopedics Ltd | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8112 |
| Katie Elizabeth Hanson | Nurse Practitioner | Mclean County Orthopedics Ltd | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8112 |
| Matthew A Kresnicka | Physical Therapy | Mclean County Orthopedics Ltd | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8112 |
| Paul R Naour | Anesthesiology | Mclean County Orthopedics Ltd | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8112 |
| Nicholle L Eisfelder | Occupational Therapy | Mclean County Orthopedics Ltd | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8112 |
| Courtney A Yamada | Physical Therapy | Mclean County Orthopedics Ltd | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8112 |
| Mary Ann Meismer | Occupational Therapy | Mclean County Orthopedics Ltd | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8112 |
| Lucas Casey Armstrong | Orthopedic Surgery | Mclean County Orthopedics Ltd | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8112 |
| Street Address |
1111 TRINITY LN SUITE 111 |
| City | BLOOMINGTON |
| State | IL |
| Zip | 61704-8112 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alissa M Recker | Physical Therapy | Mclean County Orthopedics Ltd | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8112 |
| Elizabeth K Plocher | Hand Surgery | Mclean County Orthopedics Ltd | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8112 |
| Lucas B Roth | Physician Assistant | Mclean County Orthopedics Ltd | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8112 |
| Katie Elizabeth Hanson | Nurse Practitioner | Mclean County Orthopedics Ltd | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8112 |
| Matthew A Kresnicka | Physical Therapy | Mclean County Orthopedics Ltd | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8112 |
| Paul R Naour | Anesthesiology | Mclean County Orthopedics Ltd | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8112 |
| Nicholle L Eisfelder | Occupational Therapy | Mclean County Orthopedics Ltd | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8112 |
| Courtney A Yamada | Physical Therapy | Mclean County Orthopedics Ltd | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8112 |
| Mary Ann Meismer | Occupational Therapy | Mclean County Orthopedics Ltd | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8112 |
| Lucas Casey Armstrong | Orthopedic Surgery | Mclean County Orthopedics Ltd | 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8112 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leah C Swanson | Clinical Social Worker | Elliott Counseling Services LLC | 209 S Prospect, Suite 1, Bloomington, IL 61704 |
| Cheri Miller | Psychologist, Clinical | Advocate Health and Hospitals Corporation | 303 N Hershey, Suite 2c, Bloomington, IL 61704 |
| Dennis M Brtva | Optometry | Central Illinois Family Eyecare LLC | 2109 N Veterans Pkwy, Suite 2, Bloomington, IL 61704-0910 |
| Christopher James Wetzler | Optometry | Central Illinois Family Eyecare LLC | 2109 N Veterans Pkwy, Suite 2, Bloomington, IL 61704-0910 |
| Ashley Elizabeth Foster | Optometry | Central Illinois Family Eyecare LLC | 2109 N Veterans Pkwy, Suite 2, Bloomington, IL 61704-0910 |
| Preston Langdon Smith | Optometry | Central Illinois Family Eyecare LLC | 2109 N Veterans Pkwy, Suite 2, Bloomington, IL 61704-0910 |
| Kristine C Winkler | Nurse Practitioner | Encounter Telehealth LLC | 11 Harbor Pointe Ct, Bloomington, IL 61704-1409 |
| Robert J Hermann | Chiropractic | 2415 E Washington St F, Bloomington, IL 61704-1609 | |
| Robert D Brown | Chiropractic | 2422 E Washington St, Suite 202, Bloomington, IL 61704-1611 | |
| Julie R Dostal | Registered Dietitian Or Nutrition Professional | 2412 E Washington St, Suite 1b, Bloomington, IL 61704-1613 | |
| Find all physicians in zip 61704 | |||
| City | BLOOMINGTON |
| Zip Code | 61704 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BLOOMINGTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Nicholas Ray Von Holten.
| 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.