DR. CRAIG D HOLMAN (NPI# 1093924813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093924813 |
| Entity Type | Individual |
| Full Name | DR. CRAIG D HOLMAN |
| Credential | DPM |
| Practice Address |
496 Shoup Ave W Ste B Twin Falls ID 83301-5043 |
| Practice Telephone | 2087347676 |
| Practice Fax Number | 2087368378 |
| Mailing Telephone | 2087347676 |
| Mailing Fax Number | 2087368378 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2010-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
P119 | ID | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | DMERC | 4134570001 | 01 |
| ID | BLUE CROSS OF IDAHO | P2397 | 01 |
| ID | 1093924813 | 05 | |
| ID | RAILROAD MEDICARE | 480031477 | 01 |
| ID | REGENCE BLUE SHIELD OF ID | 000010015646 | 01 |
| ID | 002143900 | 05 | |
| ID | PRIVATE INSURANCES | 820491190 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043431844 | Craig Alan Holman | Dentist | 4960 Cemetery Rd # A, Hilliard, OH 43026-1622 | 2007-05-01 |
| Street Address |
496 SHOUP AVE W STE B |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-5043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699062638 | Caleb E Roberts | Podiatrist | 496 Shoup Ave W Ste B, Twin Falls, ID 83301-5043 | 2011-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 213EP1101X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Primary Podiatric Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497223879 | James Dawn | Podiatrist | 1775 W State St # 299, Boise, ID 83702-3924 | 2018-11-05 |
| 1548564412 | Dpmgilbertnrid LLC | Podiatrist | 3690 Ridgewood Rd, Pocatello, ID 83201-7704 | 2011-01-06 |
| 1033105275 | Ronald W Alm | Podiatrist | 803 16th Ave, Lewiston, ID 83501-3733 | 2005-09-22 |
| 1598197857 | Christensen Foot & Ankle Clinic | Podiatrist | 1777 E Clark St, Suite 220, Pocatello, ID 83201-3357 | 2013-08-08 |
| 1063769297 | Snake River Podiatry Pllc | Podiatrist | 3690 Ridgewood Rd, Pocatello, ID 83201-7704 | 2012-08-07 |
| 1962783233 | Boise Foot and Ankle Group | Podiatrist | 727 E Riverpark Ln, Suite 100, Boise, ID 83706-4069 | 2011-08-31 |
| 1588993018 | Dpmcallnrid LLC | Podiatrist | 718 Beulahs Ln, Idaho Falls, ID 83401-2340 | 2009-12-11 |
| 1891920476 | Don J Gilbert | Podiatrist | 1555 E Clark St, Pocatello, ID 83201-4133 | 2009-05-26 |
| 1801071550 | Randy E Lowe | Podiatrist | 230 W Mallard Dr, Suite C, Boise, ID 83706-6600 | 2007-12-31 |
| 1982711578 | Boise Podiatry Clinic, P. A. | Podiatrist | 6051 N Eagle Rd, Boise, ID 83713 | 2006-08-23 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on DR. CRAIG D HOLMAN.
| 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.