MARGARET B HOLMES (NPI# 1104895655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104895655 |
Entity Type | Individual |
Full Name | MARGARET B HOLMES |
Other Name | MARGARET B FUGEL |
Credential | P.A.-C. |
Practice Address |
1720 Mesquite Ave Suite 102 Lake Havasu City AZ 86403-5602 |
Mailing Address |
Po Box 27340 Phoenix AZ 85061-7340 |
Practice Telephone | 9258543333 |
Practice Fax Number | 9288543335 |
Mailing Telephone | 6029439200 |
Mailing Fax Number | 6022163000 |
Enumeration Date | 2006-03-16 |
Last Update Date | 2008-01-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1445 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AZ | 135758 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770079519 | Margaret Miller Holmes | Registered Nurse | 2080 W Arlington Blvd Ste B, Greenville, NC 27834 | 2018-07-05 |
1619268737 | Margaret Patricia Holmes | Pathology | 1500 Forest Glen Rd, Silver Spring, MD 20910-1460 | 2011-04-23 |
1427071901 | Margaret Etta Holmes | Internal Medicine | 5000 W National Ave, Gold Team, Milwaukee, WI 53295-0001 | 2006-07-25 |
Street Address |
1720 MESQUITE AVE SUITE 102 |
City | LAKE HAVASU CITY |
State | AZ |
Zip Code | 86403-5602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952370975 | Theron C Tilgner D O LLC | Orthopaedic Surgery | 1720 Mesquite Ave, Suite 102, Lake Havasu City, AZ 86403-5602 | 2006-03-14 |
1538338058 | Fps Medical Center Ltd | Family Medicine | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 | 2008-02-28 |
1104982719 | Apex Diagnostic Services, Inc. | Radiology | 1720 Mesquite Ave, Lake Havasu City, AZ 86403-5602 | 2006-12-28 |
1609971076 | Philip Andre' St. Raymond | Urology | 1720 Mesquite Ave, Suite 100b, Lake Havasu City, AZ 86403-5602 | 2006-09-13 |
1871511295 | Jeffrey Jay Carls | Family Medicine | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403 | 2006-07-17 |
1639110679 | Saul Alvarez | Respiratory Therapist, Certified | 1720 Mesquite Ave, #201, Lake Havasu City, AZ 86403 | 2006-06-09 |
1851338917 | Peter Dux | Emergency Medicine | 1720 Mesquite Ave, Suite 100, Lake Havasu City, AZ 86403-5602 | 2006-05-31 |
1497724413 | Theron C Tilgner | Orthopaedic Surgery | 1720 Mesquite Ave, Suite 102, Lake Havasu City, AZ 86403-5602 | 2006-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
Find all providers in zip 86403 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235192774 | Edward Willard Bradshaw IIi | Physician Assistant | 72 Lake Havasu Ave S Ste 102, Lake Havasu City, AZ 86403-0857 | 2006-04-07 |
1588603542 | Christian L Grandell | Physician Assistant | 2035 Mesquite Ave, #a, Lake Havasu City, AZ 86403-5894 | 2006-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760030647 | Blaine Wesley Price | Physician Assistant | 796 W Jardin Dr, Casa Grande, AZ 85122-6162 | 2019-09-03 |
1790347292 | James M Goldhardt | Physician Assistant | 1400 S Dobson Rd Ste A200, Mesa, AZ 85202-4707 | 2019-07-03 |
1972166858 | Red Heart Surgical Assisting | Physician Assistant | 43643 W Arizona Ave, Maricopa, AZ 85138-5642 | 2019-04-17 |
1053898833 | Sportsmedicine Outreach Specialist | Physician Assistant | 13247 N 80th Pl, Scottsdale, AZ 85260-4903 | 2018-07-24 |
1912496712 | Hw Surgical Assist, Pllc | Physician Assistant | 4057 E Laurel Ave, Gilbert, AZ 85234 | 2018-05-07 |
1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
1366955155 | Jennifer R Osborne | Physician Assistant | 100 S Eastern Dawn Ave, Tucson, AZ 85748-1708 | 2017-11-15 |
1669985198 | Jacki Nichols | Physician Assistant | 5055 N Rock Canyon Rd, Tucson, AZ 85750-6003 | 2017-11-06 |
1720597214 | Merieme Khamsi | Physician Assistant | 14674 W Mountain View Blvrd #210, Surprise, AZ 85374 | 2017-09-27 |
1801305073 | Panduga Surgical Care, Pllc | Physician Assistant | 4904 S Power Rd Ste 103, Pmb 450, Mesa, AZ 85212-3610 | 2017-09-20 |
Find all providers with the same taxonomy |
City | LAKE HAVASU CITY |
Zip Code | 86403 |
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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.