Mallory G Holm (NPI# 1659737955, PAC ID# 9133425846) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1659737955 |
| PAC ID by PECOS | 9133425846 |
| Professional Enrollment ID | I20160307001417 |
| Full Name | Mallory G Holm |
| Organization Legal Name | SMH PHYSICIAN SERVICES INC |
| Address |
1540 S Tamiami Trail Suite 305 Sarasota FL 34239-2921 |
| Phone Number | 9419173400 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1355240177 |
| Number of Group Practice Members | 219 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1540 S Tamiami Trail, Suite 305, Sarasota, FL 34239-2921 | 9419173400 | SMH PHYSICIAN SERVICES INC |
| 1540 S Tamiami Trl, Suite 303, Sarasota, FL 34239-2921 | 9419178791 | SMH PHYSICIAN SERVICES INC |
| 1921 Waldemere St, Sarasota, FL 34239-2941 | SMH PHYSICIAN SERVICES INC |
| Organization Legal Name | SMH PHYSICIAN SERVICES INC |
| Physicians | 233 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Ann Wilde | Nurse Practitioner | Smh Physician Services Inc | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 |
| Myrna Zoe Bosques | Family Medicine | Smh Physician Services Inc | 1515 S Osprey, Suite 1 A, Sarasota, FL 34239-2933 |
| Sarah J Holdt Somer | Obstetrics/gynecology | Smh Physician Services Inc | 929 S Tamiami Trl, Suite 203, Osprey, FL 34229-9241 |
| Richard Stephen Taylor | Internal Medicine | Smh Physician Services Inc | 1825 Dr Martin Luther King Way, Sarasota, FL 34234-2525 |
| Brunel Teresa Gomez De Tavarez | Internal Medicine | Smh Physician Services Inc | 14405 Arbor Green Trl, Lakewood Ranch, FL 34202-8409 |
| Kimalyn A Dumas | Nurse Practitioner | Smh Physician Services Inc | 6128 S Tamiami Trail, Sarasota, FL 34231-4029 |
| Courtney L Simmons | Pain Management | Smh Physician Services Inc | 5880 Rand Blvd, Suite 206, Sarasota, FL 34238-5118 |
| Mitchel Lee Beasley Ii | Family Medicine | Smh Physician Services Inc | 997 Us Hwy 41 Bypass N, Suite 201, Venice, FL 34285-6046 |
| Rachel A Dahlborg | Pediatric Medicine | Smh Physician Services Inc | 929 S Tamiami Trail, Suite 101, Osprey, FL 34229-9240 |
| Janet Kralik Lewis | Internal Medicine | Smh Physician Services Inc | 2345 Bobcat Village Ctr Rd, Unit 202, North Port, FL 34288-8999 |
| Street Address |
1540 S TAMIAMI TRAIL SUITE 305 |
| City | SARASOTA |
| State | FL |
| Zip | 34239-2921 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy E Doty | Physician Assistant | Florida Cardiac Consultants Inc | 1540 S Tamiami Trail, Suite 401, Sarasota, FL 34239-2921 |
| Oksana A Dovgopolyi | Nurse Practitioner | Florida Cardiac Consultants Inc | 1540 S Tamiami Trail, Suite 401, Sarasota, FL 34239-2921 |
| Jonathan C Fong | Cardiac Surgery | Smh Physician Services Inc | 1540 S Tamiami Trail, Suite 305, Sarasota, FL 34239-2921 |
| Robert J Pohl | Physician Assistant | Florida Cardiac Consultants Inc | 1540 S Tamiami Trail, Suite 401, Sarasota, FL 34239-2921 |
| Patrick Steven Basco | Physician Assistant | Florida Cardiac Consultants Inc | 1540 S Tamiami Trail, Suite 401, Sarasota, FL 34239-2921 |
| Kristen L Easey | Physician Assistant | Florida Cardiac Consultants Inc | 1540 S Tamiami Trail, Suite 401, Sarasota, FL 34239-2921 |
| Daniel S Pacifico | Cardiovascular Disease (cardiology) | Florida Cardiac Consultants Inc | 1540 S Tamiami Trail, Suite 401, Sarasota, FL 34239-2921 |
| James Joseph Fox | Cardiovascular Disease (cardiology) | Florida Cardiac Consultants Inc | 1540 S Tamiami Trail, Suite 401, Sarasota, FL 34239-2921 |
| Michael Mumma | Cardiovascular Disease (cardiology) | Florida Cardiac Consultants Inc | 1540 S Tamiami Trail, Suite 401, Sarasota, FL 34239-2921 |
| Drew Harris | Physician Assistant | Florida Cardiac Consultants Inc | 1540 S Tamiami Trail, Suite 401, Sarasota, FL 34239-2921 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Schwartz | Ophthalmology | 1219 S E Ave, Suite 105, Sarasota, FL 34239 | |
| Ryan Taylor Johnson | Chiropractic | 1775 Arlington St, Suite 2, Sarasota, FL 34239-2143 | |
| James L. Slocum | Psychiatry | 1775 Arlington St, Suite 3, Sarasota, FL 34239-2143 | |
| Mark A Checcone | Otolaryngology | 1958 Prospect St, Sarasota, FL 34239-2217 | |
| Matthew Edlund | Psychiatry | 1241 S Tamiami Trl, Sarasota, FL 34239-2219 | |
| Annette L Polit | Certified Registered Nurse Anesthetist | Sarasota Anesthesiologists, Pa | 1261 S Tamiami Trail, Sarasota, FL 34239-2219 |
| Cheryl A Mcfarlin | Certified Registered Nurse Anesthetist | Sarasota Anesthesiologists, Pa | 1261 S Tamiami Trail, Sarasota, FL 34239-2219 |
| Daniel L Swanson | Certified Registered Nurse Anesthetist | Sarasota Anesthesiologists, Pa | 1261 S Tamiami Trail, Sarasota, FL 34239-2219 |
| Elmer T Arne Jr. | Cardiovascular Disease (cardiology) | 1250 S Tamiami Trl, Suite 401, Sarasota, FL 34239-2221 | |
| William F Bennett | Orthopedic Surgery | 1250 S Tamiami Trl, Suite 303, Sarasota, FL 34239-2221 | |
| Find all physicians in zip 34239 | |||
| City | SARASOTA |
| Zip Code | 34239 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SARASOTA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Mallory G Holm.
| 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.