DAVID L HOLTZSCHER (NPI# 1144437195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144437195 |
Entity Type | Individual |
Full Name | DAVID L HOLTZSCHER |
Credential | ATC |
Practice Address |
1900 E Lake Shore Dr Suite 150 Decatur IL 62521-3824 |
Mailing Address |
57 Medial Dr Decatur IL 62521-5253 |
Practice Telephone | 2174286222 |
Mailing Telephone | 2173690493 |
Enumeration Date | 2007-05-17 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1900 E LAKE SHORE DR SUITE 150 |
City | DECATUR |
State | IL |
Zip Code | 62521-3824 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992704332 | Samir A Patel | Pediatrics | 1900 E Lake Shore Dr, Suite 330, Decatur, IL 62521-3824 | 2005-07-19 |
1306238746 | Crystal Louise Zeigler | Specialist/Technologist | 1900 E Lake Shore Dr, Decatur, IL 62521-3824 | 2015-02-23 |
1881935435 | Deepthi Seekuri Manoj | Pediatrics | 1900 E Lake Shore Dr, Decatur, IL 62521-3824 | 2013-03-06 |
1811274889 | Sherrie Knutson | Specialist/Technologist | 1900 E Lake Shore Dr, Decatur, IL 62521-3824 | 2011-11-04 |
1639458623 | Tracy Pulliam | Social Worker | 1900 E Lake Shore Dr, Suite 201, Decatur, IL 62521-3824 | 2011-08-09 |
1316253578 | Linda S Pietrzak | Nurse Practitioner | 1900 E Lake Shore Dr, Suite 330, Decatur, IL 62521-3824 | 2010-08-26 |
1790961977 | Kare4kids Sc | Pediatrics | 1900 E Lake Shore Dr, Suite 330, Decatur, IL 62521-3824 | 2008-01-17 |
1174702708 | St. Marys Hospital Decatur of The Hospital Sisters of The Third Order | Physician Assistant | 1900 E Lake Shore Dr, Suite 200, Decatur, IL 62521-3824 | 2007-10-31 |
1861680704 | Zachary Lee Sowa | Physician Assistant | 1900 E Lake Shore Dr, Suite 200, Decatur, IL 62521-3846 | 2007-10-04 |
1407055353 | Amy L Kindred Johnson | Nurse Practitioner | 1900 E Lake Shore Dr, Suite 330, Decatur, IL 62521-3848 | 2007-07-12 |
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1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
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1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
1154848034 | Zack Shaw | Physical Therapist | 4855-57 East 36, Decatur, IL 62521 | 2017-08-23 |
1790032852 | Prashant Morolia | Family Medicine | 4775 E Maryland St, Decatur, IL 62521 | 2012-08-08 |
1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
1104133099 | Suzette Marie Shafer | Occupational Therapy Assistant | 1790 S. Fairview Ave., Decatur, IL 62521 | 2010-09-13 |
1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
1982839056 | Kelly Clark Dds PC | Dentist | 3737 Us Rt 36 E, Decatur, IL 62521 | 2009-05-19 |
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Taxonomy Code | 2255A2300X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Specialist/Technologist |
Specialization | Athletic Trainer |
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
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1720637614 | Tisha Marie Hess | Specialist/Technologist | 2538 E Lost Bridge Rd, Decatur, IL 62521-4408 | 2019-09-04 |
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1871079442 | Jackson Randall Therrien | Specialist/Technologist | 224 Crows Nest Cir, Decatur, MS 39327-9186 | 2018-07-17 |
1750867776 | Derrick Wesley Jones | Specialist/Technologist | 275 W Broad St, Decatur, MS 39327-8985 | 2018-07-12 |
1720573447 | Jonathan Clark | Specialist/Technologist | 1214 Highland Lake Cir, Decatur, GA 30033-3460 | 2018-06-25 |
1811492812 | Taylor Zolecki | Specialist/Technologist | 885 W Grove Rd, Decatur, IL 62521-9058 | 2018-03-29 |
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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.