Thomas Richard Holda (NPI# 1740358282, PAC ID# 9335137124) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1740358282 |
| PAC ID by PECOS | 9335137124 |
| Professional Enrollment ID | I20100130000387 |
| Full Name | Thomas Richard Holda |
| Organization Legal Name | PERFORMANCE PLUS REHABILITATION CENTER LLC |
| Address |
1802 N Woodbine Rd Saint Joseph MO 64506-3667 |
| Phone Number | 8162325113 |
| Gender | M |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5294791695 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260006 | MOSAIC LIFE CARE AT ST JOSEPH |
| Address | Phone | Organization |
|---|---|---|
| 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 | 8162325113 | PERFORMANCE PLUS REHABILITATION CENTER LLC |
| 5202 Faraon St, Suite A, Saint Joseph, MO 64506-3840 | 8162711067 | HEARTLAND REGIONAL MEDICAL CENTER |
| 5301 Faraon St, Saint Joseph, MO 64506-3800 | HEARTLAND REGIONAL MEDICAL CENTER | |
| 901 Heartland Rd, Saint Joseph, MO 64506-6201 | HEARTLAND REGIONAL MEDICAL CENTER |
| Organization Legal Name | PERFORMANCE PLUS REHABILITATION CENTER LLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Luke J Brennan | Chiropractic | Performance Plus Rehabilitation Center LLC | 602 Lana Dr, Suite A, Cameron, MO 64429-1473 |
| Justin Richard Casey | Chiropractic | Performance Plus Rehabilitation Center LLC | 313 S 169 Hwy, Gower, MO 64454 |
| Joshua A Middendorf | Chiropractic | Performance Plus Rehabilitation Center LLC | 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 |
| Kathy F Darnell | Nurse Practitioner | Performance Plus Rehabilitation Center LLC | 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 |
| Allyn N Smith | Chiropractic | Performance Plus Rehabilitation Center LLC | 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 |
| James Gaunt | Otolaryngology | Performance Plus Rehabilitation Center LLC | 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 |
| Robert F Paul | Orthopedic Surgery | Performance Plus Rehabilitation Center LLC | 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 |
| Vikas Agarwal | Internal Medicine | Performance Plus Rehabilitation Center LLC | 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 |
| Anthony Ezemba | Physical Medicine and Rehabilitation | Performance Plus Rehabilitation Center LLC | 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 |
| Steven D Brushwood | Family Medicine | Performance Plus Rehabilitation Center LLC | 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 |
| Street Address |
1802 N WOODBINE RD |
| City | SAINT JOSEPH |
| State | MO |
| Zip | 64506-3667 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua A Middendorf | Chiropractic | Performance Plus Rehabilitation Center LLC | 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 |
| Kathy F Darnell | Nurse Practitioner | Performance Plus Rehabilitation Center LLC | 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 |
| Allyn N Smith | Chiropractic | Performance Plus Rehabilitation Center LLC | 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 |
| James Gaunt | Otolaryngology | Performance Plus Rehabilitation Center LLC | 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 |
| Robert F Paul | Orthopedic Surgery | Performance Plus Rehabilitation Center LLC | 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 |
| Vikas Agarwal | Internal Medicine | Performance Plus Rehabilitation Center LLC | 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 |
| Anthony Ezemba | Physical Medicine and Rehabilitation | Performance Plus Rehabilitation Center LLC | 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 |
| Steven D Brushwood | Family Medicine | Performance Plus Rehabilitation Center LLC | 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 |
| Randy S Buckles | Family Medicine | Performance Plus Rehabilitation Center LLC | 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 |
| Sarah R Wiederholt | Family Medicine | Performance Plus Rehabilitation Center LLC | 1802 N Woodbine Rd, Saint Joseph, MO 64506-3667 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin S Reine | Family Medicine | Heartland Regional Medical Center | 5210 N Belt Hwy Entrance C, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Juan C Dominguez | Family Medicine | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Jonathan C Amspacher | Plastic and Reconstructive Surgery | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Melissa M Farris | Nurse Practitioner | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Davin G Turner | Family Medicine | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Cody D Hanson | Dermatology | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Alan W Brewer | Family Medicine | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Whitney B Atha | Nurse Practitioner | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
| James G Day | Family Medicine | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Ana M Liolios | Dermatology | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
| Find all physicians in zip 64506 | |||
| City | SAINT JOSEPH |
| Zip Code | 64506 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SAINT JOSEPH + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Thomas Richard Holda.
| 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.