Mark E Holthaus (NPI# 1699723510, PAC ID# 9032161708) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1699723510 |
| PAC ID by PECOS | 9032161708 |
| Professional Enrollment ID | I20050210000962 |
| Full Name | Mark E Holthaus |
| Organization Legal Name | UAP SCOPES LLC |
| Address |
5139 Mattis Rd Suite 100 Saint Louis MO 63128-2250 |
| Phone Number | 3147299780 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1983 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1052535689 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5139 Mattis Rd, Suite 100, Saint Louis, MO 63128-2250 | 3147299780 | UAP SCOPES LLC |
| Organization Legal Name | UAP SCOPES LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christi Huguet | Certified Registered Nurse Anesthetist (crna) | Uap Scopes LLC | 5139 Mattis Rd, Suite 100, Saint Louis, MO 63128-2250 |
| Witoon Ruamwijitphong | Certified Registered Nurse Anesthetist (crna) | Uap Scopes LLC | 5139 Mattis Rd, Suite 100, Saint Louis, MO 63128-2250 |
| Lisa Rybak | Certified Registered Nurse Anesthetist (crna) | Uap Scopes LLC | 5139 Mattis Rd, Suite 100, Saint Louis, MO 63128-2250 |
| Nicholas J Lyons | Certified Registered Nurse Anesthetist (crna) | Uap Scopes LLC | 5139 Mattis Rd, Suite 100, Saint Louis, MO 63128-2250 |
| Danielle L Petersmith | Certified Registered Nurse Anesthetist (crna) | Uap Scopes LLC | 5139 Mattis Rd, Suite 100, Saint Louis, MO 63128-2250 |
| Debra M Dewig | Certified Registered Nurse Anesthetist (crna) | Uap Scopes LLC | 5139 Mattis Rd, Suite 100, Saint Louis, MO 63128-2250 |
| Anthony Sanders | Certified Registered Nurse Anesthetist (crna) | Uap Scopes LLC | 5139 Mattis Rd, Suite 100, Saint Louis, MO 63128-2250 |
| Kristofer N Warren | Certified Registered Nurse Anesthetist (crna) | Uap Scopes LLC | 5139 Mattis Rd, Suite 100, Saint Louis, MO 63128-2250 |
| Larry D Stephens Jr. | Certified Registered Nurse Anesthetist (crna) | Uap Scopes LLC | 5139 Mattis Rd, Suite 100, Saint Louis, MO 63128-2250 |
| Street Address |
5139 MATTIS RD SUITE 100 |
| City | SAINT LOUIS |
| State | MO |
| Zip | 63128-2250 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christi Huguet | Certified Registered Nurse Anesthetist (crna) | Uap Scopes LLC | 5139 Mattis Rd, Suite 100, Saint Louis, MO 63128-2250 |
| Witoon Ruamwijitphong | Certified Registered Nurse Anesthetist (crna) | Uap Scopes LLC | 5139 Mattis Rd, Suite 100, Saint Louis, MO 63128-2250 |
| Lisa Rybak | Certified Registered Nurse Anesthetist (crna) | Uap Scopes LLC | 5139 Mattis Rd, Suite 100, Saint Louis, MO 63128-2250 |
| Nicholas J Lyons | Certified Registered Nurse Anesthetist (crna) | Uap Scopes LLC | 5139 Mattis Rd, Suite 100, Saint Louis, MO 63128-2250 |
| Danielle L Petersmith | Certified Registered Nurse Anesthetist (crna) | Uap Scopes LLC | 5139 Mattis Rd, Suite 100, Saint Louis, MO 63128-2250 |
| Debra M Dewig | Certified Registered Nurse Anesthetist (crna) | Uap Scopes LLC | 5139 Mattis Rd, Suite 100, Saint Louis, MO 63128-2250 |
| Anthony Sanders | Certified Registered Nurse Anesthetist (crna) | Uap Scopes LLC | 5139 Mattis Rd, Suite 100, Saint Louis, MO 63128-2250 |
| Kristofer N Warren | Certified Registered Nurse Anesthetist (crna) | Uap Scopes LLC | 5139 Mattis Rd, Suite 100, Saint Louis, MO 63128-2250 |
| Anna D Desaix | Podiatry | Next Step Foot and Ankle Centers Inc | 5139 Mattis Rd, Suite 101, Saint Louis, MO 63128-2250 |
| Larry D Stephens Jr. | Certified Registered Nurse Anesthetist (crna) | Uap Scopes LLC | 5139 Mattis Rd, Suite 100, Saint Louis, MO 63128-2250 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel M Ott | Nurse Practitioner | St Anthony's Physician Organization | 12700 Kennerly Rd, Suite 220, Saint Louis, MO 63128 |
| Shephali H Wulff | Infectious Disease | Infectious Diseases PC | 330 1st Capitol Dr, Suite 260, St Charles, MO 63128 |
| Marie E Wehner | Optometry | Vision Care Consultants Inc | 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250 |
| David Brian Seibel | Optometry | Vision Care Consultants Inc | 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250 |
| Craig Mathew Brawley | Optometry | Vision Care Consultants Inc | 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250 |
| John D Friederich | Optometry | Vision Care Consultants Inc | 12121 Tesson Ferry Professional Ctr, Saint Louis, MO 63128-1250 |
| Michelle E Nogalski | Physical Therapy | Prorehab PC | 107 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307 |
| Yvonne M Layugan | Family Medicine | 123 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307 | |
| Megan R Anna | Physical Therapy | Prorehab PC | 107 Concord Plaza Shopping Ctr, Saint Louis, MO 63128-1307 |
| Christopher J Tabor | Physical Therapy | The Physical Therapy Center, Inc. | 12048 Tesson Ferry Rd, Saint Louis, MO 63128-1727 |
| Find all physicians in zip 63128 | |||
| City | SAINT LOUIS |
| Zip Code | 63128 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | SAINT LOUIS + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Mark E Holthaus.
| 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.