Robert L Holman (NPI# 1225083587, PAC ID# 7517919095) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1225083587 |
| PAC ID by PECOS | 7517919095 |
| Professional Enrollment ID | I20180308002306 |
| Full Name | Robert L Holman |
| Organization Legal Name | DHHS IHS COLVILLE SERVICE UNIT |
| Address |
19 Lakes St Nespelem WA 99155-0000 |
| Phone Number | 5096342900 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1981 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 0941302509 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501308 | COULEE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 19 Lakes St, Nespelem, WA 99155-0000 | 5096342900 | DHHS IHS COLVILLE SERVICE UNIT |
| 617 Benton St, Omak, WA 98841-9636 | 5094225683 | OMAK TRIBAL HEALTH CLINIC |
| Organization Legal Name | DHHS IHS COLVILLE SERVICE UNIT |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cassandra Mitchell | Nurse Practitioner | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Loren L Lewis | Family Medicine | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Connie Irene Edwards | Nurse Practitioner | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Alison M Pingitore | Nurse Practitioner | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Larry Smith | Family Medicine | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Phillip Luther Shealy | Nurse Practitioner | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Theresa Caniff | Nurse Practitioner | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Johanna A. Claasen | Physician Assistant | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Kathy A Winzer | Nurse Practitioner | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Gregory Barcus | Optometry | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Street Address |
19 LAKES ST |
| City | NESPELEM |
| State | WA |
| Zip | 99155-0000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cassandra Mitchell | Nurse Practitioner | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Loren L Lewis | Family Medicine | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Connie Irene Edwards | Nurse Practitioner | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Alison M Pingitore | Nurse Practitioner | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Larry Smith | Family Medicine | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Phillip Luther Shealy | Nurse Practitioner | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Theresa Caniff | Nurse Practitioner | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Johanna A. Claasen | Physician Assistant | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Kathy A Winzer | Nurse Practitioner | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Gregory Barcus | Optometry | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline M Sellner | Nurse Practitioner | Dhhs Ihs Colville Service Unit | 19 Lakes St, Nespelem, WA 99155-0000 |
| City | NESPELEM |
| Zip Code | 99155 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | NESPELEM + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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| 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.