SUSAN J HOLTKAMP (NPI# 1508820473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508820473 |
| Entity Type | Individual |
| Full Name | SUSAN J HOLTKAMP |
| Other Name | SUSAN J WEINRICH |
| Credential | CPNP |
| Practice Address |
5409 Avenue O Fort Madison IA 52627-9601 |
| Practice Telephone | 3193762134 |
| Practice Fax Number | 3193762188 |
| Mailing Telephone | 3193762134 |
| Mailing Fax Number | 3193762188 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2017-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
C134848 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | HEALTHLINK | 739476 | 01 |
| MO | BLUE CHOICE | 185413 | 01 |
| MO | BLUE SHIELD | 185413 | 01 |
| RAILROAD MEDICARE | P00805205 | 01 | |
| MO | TRICARE WEST | 431560263 | 01 |
| Street Address |
5409 AVENUE O |
| City | FORT MADISON |
| State | IA |
| Zip Code | 52627-9601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003814179 | Michael D David | Family Medicine | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2005-07-12 |
| 1205315116 | Michelle Lynn Hornung | Nurse Practitioner | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2018-08-10 |
| 1457877177 | Carrie Skibba | Nurse Practitioner | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2017-08-15 |
| 1659896587 | Nicole Frances Wilcox | Nurse Practitioner | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2017-08-11 |
| 1902327604 | Bobbi Jo Marshall | Nurse Practitioner | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2017-07-03 |
| 1629506829 | Mariah Skelley | Registered Nurse | 5409 Avenue O, Fort Madison, IA 52627 | 2017-06-01 |
| 1679008635 | Kyle Gibson | Physician Assistant | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2017-04-27 |
| 1821531203 | Rural Surgical Relief, PC | Surgery | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2016-12-02 |
| 1700331311 | Gwendolyn Scott | Nurse Practitioner | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2016-08-24 |
| 1518349539 | Ruth Barosy | Family Medicine | 5409 Avenue O, Fort Madison, IA 52627-9601 | 2015-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538421839 | Midwest Respiratory Care Inc. | Durable Medical Equipment & Medical Supplies | 2310 Ave L, Fort Madison, IA 52627 | 2012-06-12 |
| 1013169929 | Sunnybrook of Ft. Madison | Assisted Living Facility | 5052 River Valley Road, Ft. Madison, IA 52627 | 2008-10-22 |
| 1013164532 | Navaro Noah Spartaco | Pathology | 5444 Ave O, Fort Madison, IA 52627 | 2008-08-27 |
| 1679794432 | Paul Scot Kunch | Dentist | 1605 Avenue A, Fort Madison, IA 52627 | 2007-05-01 |
| 1245364033 | David R Courtney | Dentist | 525 Avenue G, Fort Madison, IA 52627 | 2007-03-15 |
| 1578664249 | Rashid Pharmacy Plc | Durable Medical Equipment & Medical Supplies | 2404 Ave L, Fort Madison, IA 52627 | 2006-09-26 |
| 1033174628 | Leah Steffensmeier | Obstetrics & Gynecology | Fort Madison Physicians and Surgeons, 5409 Avenue O, Fort Madison, IA 52627 | 2006-04-18 |
| 1396705190 | Larry George Rounds | Chiropractor | 1605 Ave E, Fort Madison, IA 52627 | 2006-03-24 |
| 1063490407 | Air Evac Ems Inc | Ambulance | 5433 Avenue O, Fort Madison, IA 52627 | 2006-01-05 |
| 1992281984 | L.d Peck,pc | Optometrist | 716 Avenue G, Fort Madison, IA 52627 | 2018-07-13 |
| Find all providers in zip 52627 | ||||
| Taxonomy Code | 364SP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760590046 | Child Health Specialty Clinics | Clinical Nurse Specialist | 100 Hawkins Dr., 247-a Cdd, Iowa City, IA 52242 | 2006-08-28 |
| City | FORT MADISON |
| Zip Code | 52627 |
Please comment or provide details below to improve the information on SUSAN J HOLTKAMP.
| 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.