John M Holtan (NPI# 1831127224, PAC ID# 4880760537) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1831127224 |
| PAC ID by PECOS | 4880760537 |
| Professional Enrollment ID | I20080904000323 |
| Full Name | John M Holtan |
| Address |
7019 Rote Rd Rockford IL 61107-2611 |
| Phone Number | 8153984545 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140233 | SAINT ANTHONY MEDICAL CENTER |
| 140228 | SWEDISH AMERICAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7019 Rote Rd, Rockford, IL 61107-2611 | 8153984545 |
| Street Address |
7019 ROTE RD |
| City | ROCKFORD |
| State | IL |
| Zip | 61107-2611 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin L Gottlieb | Ophthalmology | University of Wisconsin Medical Foundation Inc | 7019 Rote Rd, Suite 101, Rockford, IL 61107-2611 |
| David A Wight | Psychiatry | 7019 Rote Rd, Suite 105, Rockford, IL 61107-2611 | |
| Mark J Lucarelli | Plastic and Reconstructive Surgery | University of Wisconsin Medical Foundation Inc | 7019 Rote Rd, Suite 101, Rockford, IL 61107-2611 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Hultman | Clinical Social Worker | 4320 Spring Creek Rd, Suite 9, Rockford, IL 61107-1157 | |
| Casey Jane Pilcher | Clinical Social Worker | 4320 Spring Creek Rd, Suite 18, Rockford, IL 61107-1158 | |
| Christine Blake Feathers | Clinical Social Worker | 4320 Spring Creek Rd, Rockford, IL 61107-1175 | |
| Roger H Hill | Optometry | Primary Eye Care Centers PC | 1603 N Alpine Rd, Suite 121, Rockford, IL 61107-1439 |
| Vasana Lerdvoratavee | Optometry | Primary Eye Care Centers PC | 1603 N Alpine Rd, Suite 121, Rockford, IL 61107-1439 |
| Ronald Weingart | Optometry | Primary Eye Care Centers PC | 1603 N Alpine Rd, Suite 121, Rockford, IL 61107-1439 |
| Kelly A Kalt | Clinical Social Worker | 1639 N Alpine Rd, Suite 403, Rockford, IL 61107-1440 | |
| Amira Al-basha | Physician Assistant | Edgebrook Dermatology P.C. | 1639 N Alpine Rd, Suite 380, Rockford, IL 61107-1440 |
| Maria Albasha | Dermatology | Edgebrook Dermatology P.C. | 1639 N Alpine Rd, Suite 380, Rockford, IL 61107-1440 |
| Stephen D Beaman | Clinical Social Worker | 1639 N Alpine Rd, Suite 403, Rockford, IL 61107-1440 | |
| Find all physicians in zip 61107 | |||
| City | ROCKFORD |
| Zip Code | 61107 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | ROCKFORD + FAMILY PRACTICE |
Please comment or provide details below to improve the information on John M Holtan.
| 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.