ALVIN C HOLM (NPI# 1265546188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265546188 |
| Entity Type | Individual |
| Full Name | ALVIN C HOLM |
| Credential | MD |
| Practice Address |
559 Capitol Blvd Saint Paul MN 55103-2101 |
| Mailing Address |
2494 Morrison St Little Canada MN 55117-1623 |
| Practice Telephone | 6512322000 |
| Practice Fax Number | 6512322118 |
| Mailing Telephone | 6514818249 |
| Mailing Fax Number | 6512322588 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2015-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
30351 | MN | Allopathic & Osteopathic Physicians |
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
30351 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 995787100 | 05 |
| Street Address |
559 CAPITOL BLVD |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55103-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114987245 | Karen E. Miller | Internal Medicine | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2006-03-24 |
| 1659911089 | Mitchell Allen Peterson | Physical Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2020-01-14 |
| 1134689193 | Jeremy Tvrdik | Physical Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-03-24 |
| 1932666518 | Eliesa Woggon | Occupational Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-03-01 |
| 1558828228 | Tina Denise Stone | Occupational Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-02-28 |
| 1053877514 | Jennifer Joy Rovn | Physical Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-02-20 |
| 1154887685 | Danetta Lavell | Occupational Therapist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2019-02-20 |
| 1437659190 | Riley Odom | Nurse Practitioner | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2018-02-19 |
| 1215476437 | Kayla Appleby | Social Worker | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2017-02-21 |
| 1659821452 | Jenna Jenkins | Speech-Language Pathologist | 559 Capitol Blvd, Saint Paul, MN 55103-2101 | 2016-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148161 | Najma Group Home LLC | Home Health | 494 Aurora Ave, St Paul, MN 55103 | 2019-11-12 |
| 1164910121 | Linda's A Mother's Touch | Registered Nurse | 727 Front Ave Apt 606, St. Paul, MN 55103 | 2018-04-25 |
| 1215432380 | Olidia Transit Inc | Non-emergency Medical Transport (VAN) | 476 W Minnehaha Ave, Saint Paul, MN 55103 | 2018-03-29 |
| 1730579764 | Leah Angela Vibar | Chiropractor | 616 Rice Street Ste. B, Moua-lor Chiropractic & Acupuncture, P.a., St. Paul, MN 55103 | 2015-01-29 |
| 1629372479 | Korme Koji | Registered Nurse | 413 Central Avenue, St Paul, MN 55103 | 2011-01-07 |
| 1427360114 | Olydia Home Care Inc | Home Health | 476 West Minnehaha Ave, Saint Paul, MN 55103 | 2010-07-09 |
| 1699908277 | Kathleen Mae Borchert | Clinical Nurse Specialist | 559 Capitol Bloulevard, St. Paul, MN 55103 | 2009-08-28 |
| 1164690442 | Chong Pao Thao | Technician | 23 Empire Drive, Suite 123, St Paul, MN 55103 | 2008-02-20 |
| 1245366806 | Quality Plus Home Healthcare Services Inc | Home Health | 383 University Ave W. Upper, St Paul, MN 55103 | 2007-02-26 |
| 1023176286 | Amherst H. Wilder Foundation | Assisted Living Facility | 280 Ravoux St, Saint Paul, MN 55103 | 2006-12-04 |
| Find all providers in zip 55103 | ||||
| Taxonomy Code | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790286193 | Allina Health System | Psychiatry & Neurology | 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | 2018-02-22 |
| 1417337130 | Lyuba Megits | Psychiatry & Neurology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2015-06-08 |
| 1871912600 | City Psychiatric LLC | Psychiatry & Neurology | 4570 W 77th St, #315, Edina, MN 55435-5008 | 2014-04-09 |
| 1144575994 | Cor Counseling Services LLC | Psychiatry & Neurology | 646 E River Rd Ste 1, Anoka, MN 55303 | 2012-07-18 |
| City | SAINT PAUL |
| Zip Code | 55103 |
Please comment or provide details below to improve the information on ALVIN C HOLM.
| 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.