Holly J Kotewa (NPI# 1649240938, PAC ID# 9739112384) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1649240938 |
| PAC ID by PECOS | 9739112384 |
| Professional Enrollment ID | I20050914000467 |
| Full Name | Holly J Kotewa |
| Organization Legal Name | FAIRMONT ORTHOPEDICS AND SPORTS MEDICINE, PA |
| Address |
717 S State St Suite 900 Fairmont MN 56031-4478 |
| Phone Number | 5072384949 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3173436854 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240166 | MAYO CLINIC HEALTH SYSTEM - FAIRMONT |
| 241369 | UNITED HOSPITAL DISTRICT |
| Address | Phone | Organization |
|---|---|---|
| 717 S State St, Suite 900, Fairmont, MN 56031-4478 | 5072384949 | FAIRMONT ORTHOPEDICS AND SPORTS MEDICINE, PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | FAIRMONT ORTHOPEDICS AND SPORTS MEDICINE, PA |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda J Forstrom | Physical Therapy | Fairmont Orthopedics and Sports Medicine, Pa | 717 S State St, Suite 900, Fairmont, MN 56031-4478 |
| Jonathan C Haas | Orthopedic Surgery | Fairmont Orthopedics and Sports Medicine, Pa | 435 S Grove St, Suite 3, Blue Earth, MN 56013-2605 |
| Cassidy L Wolfe | Physical Therapy | Fairmont Orthopedics and Sports Medicine, Pa | 435 S Grove St, Suite 3, Blue Earth, MN 56013-2605 |
| Corey T Welchlin | Orthopedic Surgery | Fairmont Orthopedics and Sports Medicine, Pa | 717 S State St, Suite 900, Fairmont, MN 56031-4478 |
| Lynn Marie Steinhaus | Physical Therapy | Fairmont Orthopedics and Sports Medicine, Pa | 435 S Grove St, Suite 3, Blue Earth, MN 56013-2605 |
| Hal F Martens | Rheumatology | Fairmont Orthopedics and Sports Medicine, Pa | 717 S State St, Suite 900, Fairmont, MN 56031-4478 |
| Daniel Bankson | Physical Therapy | Fairmont Orthopedics and Sports Medicine, Pa | 717 S State St, Suite 900, Fairmont, MN 56031-4478 |
| Street Address |
717 S STATE ST SUITE 900 |
| City | FAIRMONT |
| State | MN |
| Zip | 56031-4478 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda J Forstrom | Physical Therapy | Fairmont Orthopedics and Sports Medicine, Pa | 717 S State St, Suite 900, Fairmont, MN 56031-4478 |
| Corey T Welchlin | Orthopedic Surgery | Fairmont Orthopedics and Sports Medicine, Pa | 717 S State St, Suite 900, Fairmont, MN 56031-4478 |
| Craig Bergh | Certified Registered Nurse Anesthetist (crna) | Center for Anesthesia Services LLC | 717 S State St, Suite 1000, Fairmont, MN 56031-4479 |
| Hal F Martens | Rheumatology | Fairmont Orthopedics and Sports Medicine, Pa | 717 S State St, Suite 900, Fairmont, MN 56031-4478 |
| Daniel Bankson | Physical Therapy | Fairmont Orthopedics and Sports Medicine, Pa | 717 S State St, Suite 900, Fairmont, MN 56031-4478 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John B Lund | Chiropractic | 118 W 2nd St, Fairmont, MN 56031-1718 | |
| Kerri L Henderson | Chiropractic | 115 /2 W Blue Earth Ave, Fairmont, MN 56031-1724 | |
| Stefanie J Jaquette | Clinical Social Worker | Krisma Counseling Inc | 117 Downtown Plz, Fairmont, MN 56031-1726 |
| Maurice L Shoen | Clinical Social Worker | Krisma Counseling Inc | 117 Downtown Plz, Fairmont, MN 56031-1726 |
| Kristine Marie Shoen | Clinical Social Worker | Krisma Counseling Inc | 117 Downtown Plz, Fairmont, MN 56031-1726 |
| Brandie J Larson | Clinical Social Worker | Krisma Counseling Inc | 117 Downtown Plz, Fairmont, MN 56031-1726 |
| Tina A Olson | Clinical Social Worker | Krisma Counseling Inc | 112 W 1st St, Suite 104, Fairmont, MN 56031-1744 |
| Joseph E Switras | Psychologist, Clinical | 208 W 2nd St, Suite 116, Fairmont, MN 56031-1843 | |
| Paul A Seibert | Optometry | Associate Optometry, P.a. | 1307 Albion Ave, Suite 102, Fairmont, MN 56031-1850 |
| Scott R Stevens | Orthopedic Surgery | United Hospital District Inc | 221 E 1st St, Fairmont, MN 56031-2810 |
| Find all physicians in zip 56031 | |||
| City | FAIRMONT |
| Zip Code | 56031 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FAIRMONT + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Holly J Kotewa.
| 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.