DR. CHRISTOPHER MATTHEW HOLLAND (NPI# 1053303727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053303727 |
Entity Type | Individual |
Full Name | DR. CHRISTOPHER MATTHEW HOLLAND |
Credential | DPM |
Practice Address |
1212 Woodhurst St Unit B Bowling Green KY 42104-3369 |
Mailing Address |
1212 Woodhurst St Unit B Bowling Green KY 42104-3369 |
Practice Telephone | 2708461900 |
Practice Fax Number | 2708462919 |
Mailing Telephone | 2708461900 |
Mailing Fax Number | 2708462919 |
Enumeration Date | 2005-08-18 |
Last Update Date | 2018-02-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 213E00000X | Podiatrist | 00234 | KY | Podiatric Medicine & Surgery Service Providers |
Y | 213E00000X | Podiatrist | 234 | KY | Podiatric Medicine & Surgery Service Providers |
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
234 | KY | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | RAILROAD MEDICARE | 480026332 | 01 |
KY | PALMETTO GBA-DMERC | 1221960002 | 01 |
KY | BCBS | 000000067936 | 01 |
KY | PASSPORT | 1115102 | 01 |
KY | 80002348 | 05 | |
KY | KYHEALTH CHOICES-DME | 90013897 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972850386 | Christopher Nelson Holland | Physical Therapist | 109 Masonic Ave, San Francisco, CA 94118-4414 | 2012-08-06 |
1609082239 | Christopher Alan Holland | Dentist | 8714 Tennyson Ave, Wheelersburg, OH 45694-1932 | 2007-05-14 |
1639257850 | Christopher J Holland | Dentist | 7902 Jones Maltsberger Rd, San Antonio, TX 78216-6920 | 2006-11-02 |
1962456137 | Christopher Holland | Physical Therapy Assistant | 4405 Governor Printz Blvd, Wilmington, DE 19802-1707 | 2006-05-20 |
1336129394 | Christopher Sean Holland | Preventive Medicine | 13508 Bonnie Dale Dr, North Potomac, MD 20878-3904 | 2006-01-18 |
1215469556 | Christopher Thomas Holland | Student in an Organized Health Care Education/Training Program | 4860 Y St, Ste 3800, Sacramento, CA 95817-2307 | 2017-03-28 |
1932446754 | Christopher O Holland | Pharmacist | 4730 Highway 17, Helena, AL 35080-3503 | 2013-01-14 |
1235373218 | Christopher Michael Holland | Neurological Surgery | 225 Baldwin Ave, Charlotte, NC 28204-3109 | 2009-04-22 |
1003011438 | Christopher Holland | Physician Assistant | 620 Howard Ave, Altoona, PA 16601-4804 | 2007-06-16 |
1174732010 | Christopher J Holland | Social Worker | 9800 4th Ave Ne, Seattle, WA 98115-2152 | 2007-05-21 |
Street Address |
1212 WOODHURST ST UNIT B |
City | BOWLING GREEN |
State | KY |
Zip Code | 42104-3369 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043822042 | Ashley Marie Sterchi | Speech-Language Pathologist | The Kid Spot Center, 944 Fields Dr. #102, Bowling Green, KY 42104 | 2020-08-20 |
1093339111 | Rachel Marie Held | Specialist/Technologist | 886c Lynnwood Way, Apt. #7, Bowling Green, KY 42104 | 2020-06-04 |
1043846769 | C D S 10 Pharmacy LLC | Pharmacy | 1308 Ashley Circle, Bowling Green, KY 42104 | 2020-03-13 |
1073075792 | Applegate Health Services, Inc | Clinic/Center | 5966 Scottsville Road Unit 7, Bowling Green, KY 42104 | 2019-04-02 |
1487122099 | Candice Spencer | Specialist/Technologist, Other | 1945 Scottsville Rd B2 Pmb 397, Bowling Green, KY 42104 | 2018-11-13 |
1053819904 | Cumberland Foot and Ankle Centers | Orthopaedic Surgery | 1850 Westen Street, Bowling Green, KY 42104 | 2018-01-25 |
1841731494 | Olivia Catherine Sanders | Speech-Language Pathologist | 954 Aristides Dr, Bowling Green, KY 42104 | 2017-03-15 |
1376901488 | Trung Trinh | Pharmacist | 1530 Campbell Lane, Bowling Green, KY 42104 | 2016-02-03 |
1225409121 | Adam Wesley Baird | Optometrist | 760 Campbell Lane, Suite 120, Bowling Green, KY 42104 | 2015-10-18 |
1851797898 | Michelle Leigh King | Speech-Language Pathologist | 829 Mandarin Ave., Bowling Green, KY 42104 | 2014-11-18 |
Find all providers in zip 42104 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275891996 | Chase Richard Ranker | Podiatrist | 735 Haskins Rd Ste A, Bowling Green, OH 43402-1638 | 2012-05-01 |
1518134386 | Jennifer Benge Emery | Podiatrist | 427 Us 31w Byp Ste 202, Bowling Green, KY 42101-1703 | 2008-05-12 |
1720081417 | Richard Young | Podiatrist | 1830 Destiny Ln, Suite 110, Bowling Green, KY 42104 | 2005-05-27 |
1619357670 | Bowling Green Foot and Ankle Physicians Inc | Podiatrist | 735 Haskins Rd, Suite A, Bowling Green, OH 43402-1638 | 2015-06-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366079543 | King's Daughters Medical Specialties, Inc. | Podiatrist | 1000 Ashland Dr Ste 104, Ashland, KY 41101-7092 | 2020-03-26 |
1578112983 | Peter Cunningham | Podiatrist | 1 Audubon Plaza Dr Ofc L2, Louisville, KY 40217-1318 | 2019-09-09 |
1447787676 | Jenna Vaught LLC | Podiatrist | 3407 Kerry Dr, Louisville, KY 40218-2131 | 2017-05-18 |
1528429289 | Carrie A. Tull, Dpm LLC | Podiatrist | 272 Redwing Dr, Winchester, KY 40391-2928 | 2016-03-09 |
1083907471 | Larry K Ketcherside | Podiatrist | 9110 Leesgate Rd, Louisville, KY 40222-5053 | 2011-05-18 |
1013210251 | Dr. Robert F Hailey, Dpm Psc | Podiatrist | 333 S 6th St, Mayfield, KY 42066-2309 | 2010-12-09 |
1558516054 | Jessica S Jackson Dpm Pllc | Podiatrist | 15014 Bircham Rd, Louisville, KY 40245-4104 | 2008-11-25 |
1568625903 | Janine A. Valentino | Podiatrist | 9880 Angies Way Suite 110, Louisville, KY 40241-2943 | 2008-07-07 |
1760676092 | Advanced Foot Care of Northern Ky | Podiatrist | 1880 Ashwood Cir, Ft Wright, KY 41011-2602 | 2007-08-29 |
1487847331 | Robert Jamey Herbst | Podiatrist | 7911 Mall Rd, Florence, KY 41042-1409 | 2007-08-23 |
Find all providers with the same taxonomy |
City | BOWLING GREEN |
Zip Code | 42104 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.