DR. KARIN MARIE LINDHOLM (NPI# 1083660583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083660583 |
Entity Type | Individual |
Full Name | DR. KARIN MARIE LINDHOLM |
Credential | D.O. |
Practice Address |
1450 Aviation Dr Suite 203 Hailey ID 83333-8785 |
Mailing Address |
821 Buckskin Dr Hailey ID 83333-8752 |
Practice Telephone | 2087278295 |
Mailing Telephone | 2087880908 |
Enumeration Date | 2006-05-26 |
Last Update Date | 2013-01-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
O-159 | ID | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | OWCP ID | 353306900 | 01 |
ID | REGENCE BLUE SHIELD ID | 000010000939 | 01 |
ID | 002457400 | 05 | |
ID | BLUE CROSS ID | S2426 | 01 |
ID | RAILROAD MEDICARE ID | 130025239 | 01 |
Street Address |
1450 AVIATION DR SUITE 203 |
City | HAILEY |
State | ID |
Zip Code | 83333-8785 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023073897 | Thomas E Archie Jr. | Acupuncturist | 1450 Aviation Dr, Suite 100, Hailey, ID 83333-8785 | 2006-04-17 |
1134556814 | Gay M Miremont | Social Worker | 1450 Aviation Dr, Ste 202, Hailey, ID 83333-8785 | 2013-09-26 |
1639499809 | Jesse Foster | Physical Therapist | 1450 Aviation Dr, Hailey, ID 83333-8785 | 2010-06-10 |
1609104363 | Kristin Bevers | Physical Therapist | 1450 Aviation Dr, Suite 201, Hailey, ID 83333-8767 | 2009-11-18 |
1366776452 | Matthew Thomas Jaksetic | Specialist/Technologist | 1450 Aviation Dr, 201, Hailey, ID 83333-8785 | 2009-09-23 |
1083842272 | Amy C Drumm | Family Medicine | 1450 Aviation Dr, Ste 100, Hailey, ID 83333-8785 | 2009-06-25 |
1821212788 | Timothy J Stoddard | Psychiatry & Neurology | 1450 Aviation Dr, Suite 202, Hailey, ID 83333-8785 | 2007-04-12 |
1982620787 | Julie A Lyons | Family Medicine | 1450 Aviation Dr, Suite 100, Hailey, ID 83333-8785 | 2006-07-14 |
1003852849 | Cortney A Vandenburgh | Family Medicine | 1450 Aviation Dr, Suite 100, Hailey, ID 83333-8785 | 2006-06-21 |
1164463964 | Lois Adrian | Family Medicine | 1450 Aviation Dr, Suite 100, Hailey, ID 83333-8785 | 2006-06-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982227534 | Bonnie Bray | Community/Behavioral Health | 99 East Fork Road, Hailey, ID 83333 | 2020-05-18 |
1174010573 | Kh Counseling & Health Center, LLC | Social Worker | 409 N Main Street, Hailey, ID 83333 | 2018-04-20 |
1306126909 | Brad A Bjorsness | Pharmacist | 911 N. Main, Hailey, ID 83333 | 2011-08-26 |
1821384520 | Lee Pesky Learning Center | Local Education Agency (LEA) | 1060 Fox Acres Rd, Hailey, ID 83333 | 2011-06-22 |
1245478684 | Marlin Layne Felton | Pharmacist | 830 Deerfield Drive, Hailey, ID 83333 | 2009-01-22 |
1023230992 | Lawrence I Weiner | Psychiatry & Neurology | 202 Indian Creek Rd, Hailey, ID 83333 | 2007-05-02 |
1730308305 | Betty Lee Brooks | Counselor | 1811 Laurelwood Dr, Hailey, ID 83333 | 2007-04-24 |
1639231459 | Mary Ellen Oleary | Physical Therapist | 150 6th Ave, Hailey, ID 83333 | 2006-12-15 |
1851450498 | Donald Edwin Spengler | Dentist | 400 S Main Street, Hailey, ID 83333 | 2006-12-08 |
1831268341 | Cynthia Kay Unger | Dentist | 219 S River, Hailey, ID 83333 | 2006-11-07 |
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Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508286188 | Nina Sienna Bozinov | Psychiatry & Neurology | 700 W Ironwood Dr Ste 158, Coeur D Alene, ID 83814-4404 | 2014-04-22 |
1922449453 | Sarita Said Said | Psychiatry & Neurology | 2400 W A St, Moscow, ID 83843-4902 | 2013-07-12 |
1386903359 | Daniel B Simmons | Psychiatry & Neurology | 1072 N Liberty St Ste 303, Boise, ID 83704 | 2012-05-11 |
1053678342 | Daniel Clark Abenroth | Psychiatry & Neurology | 9th Floor -- Neurosciences, 190 E Bannock St., Boise, ID 83712-8905 | 2012-04-12 |
1427294545 | Thomas E Henson | Psychiatry & Neurology | 3183 S Temperance Way, Boise, ID 83706-5703 | 2008-12-18 |
1235381948 | Karin Lindholm, D.o. | Psychiatry & Neurology | 901 N Curtis Rd Ste 403, Boise, ID 83706-1342 | 2008-10-14 |
1548452683 | Sergei V Kashirny | Psychiatry & Neurology | 125 E Idaho St Ste 300, Neurology, Boise, ID 83712-6256 | 2007-08-13 |
1316090426 | Affiliated Neurologists Pllc | Psychiatry & Neurology | 338 6th St, Suite 102, Lewiston, ID 83501-2419 | 2007-01-19 |
1578667739 | Mary Elizabeth Gerard | Psychiatry & Neurology | 333 N 18th Ave Ste B4, Pocatello, ID 83201 | 2006-09-11 |
1437252723 | Eastern Idaho Neurological Associates Pa | Psychiatry & Neurology | 2353 Coronado Drive, Idaho Falls, ID 83404 | 2006-09-05 |
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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.