JASON HOLT (NPI# 1588103097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588103097 |
Entity Type | Individual |
Full Name | JASON HOLT |
Practice Address |
3522 W Lisbon Ave Milwaukee WI 53208-1953 |
Practice Telephone | 4149358000 |
Practice Fax Number | 4143443350 |
Mailing Telephone | 4237415780 |
Enumeration Date | 2017-02-16 |
Last Update Date | 2020-04-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
100218515 | WI | Dental Providers |
Address | Telephone Number | Fax Number |
---|---|---|
26901 76th Ave, New Hyde Park, NY 110401433 | 6125684108 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215376215 | Jason Lauren Holt | Student in an Organized Health Care Education/Training Program | 8724 Nevada Ave N, Brooklyn Park, MN 55445-2665 | 2013-06-24 |
1033651906 | Jason Holt | Chiropractor | 1880 Lancaster Dr Ne, Suite 107, Salem, OR 97305-1089 | 2016-11-09 |
1679902001 | Jason Keith Holt | Case Manager/Care Coordinator | 30999 County Road 15, Las Animas, CO 81054-9499 | 2013-11-06 |
1932328267 | Jason Holt | Anesthesiology | 4019 N Remington Dr, Fayetteville, AR 72703-6344 | 2007-04-25 |
Street Address |
3522 W LISBON AVE |
City | MILWAUKEE |
State | WI |
Zip Code | 53208-1953 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215915194 | Benjamin Salazar Yabut Jr. | Family Medicine | 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 | 2006-01-03 |
1508492885 | Max Carpenter | Dentist | 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 | 2020-03-18 |
1538712658 | Joshua David Spierer | Social Worker | 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 | 2019-07-17 |
1477106730 | Toni Delagardelle | Nurse Practitioner | 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 | 2019-07-16 |
1477114452 | Samantha Ellen Neuroth | Dental Hygienist | 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 | 2019-06-21 |
1376014563 | Shannon M Engel | Dental Hygienist | 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 | 2018-12-16 |
1831675362 | Francesca Napolitano | Pharmacist | 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 | 2018-07-18 |
1508382276 | Smriti Madrecha | Dentist | 3522 W Lisbon Ave, Milwaukee, WI 53208 | 2017-08-15 |
1972058824 | Courtney L Schmitz | Nurse Practitioner | 3522 W Lisbon Ave, Milwaukee, WI 53208 | 2016-08-22 |
1699228080 | Nicole Wooters | Social Worker | 3522 W Lisbon Ave, Milwaukee, WI 53208 | 2016-08-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831662535 | Mary Ehrgood | Marriage & Family Therapist | Aurora Family Service, 3200 W Highland Blvd, Milwaukee, WI 53208 | 2019-01-04 |
1265976989 | Redeeming Hearts Home Care Agency, LLC | Home Health | 3223 W Lloyd St, Milwaukee, WI 53208 | 2016-12-14 |
1205379500 | Benjamin Michael Bleck-owens | Counselor | 5508 W. Vliet Street, Milwaukee, WI 53208 | 2016-11-18 |
1730552662 | John Bosnjak | Pharmacist | 3727 W. Wisconsin Ave., Milwaukee, WI 53208 | 2015-10-30 |
1588074991 | Quad/med, LLC | Clinic/Center | 1301 West Canal Street, Milwaukee, WI 53208 | 2014-05-07 |
1629407226 | Dhanya Jayadevan Nair | Marriage & Family Therapist | 3200 W. Highland Blvd., Milwaukee, WI 53208 | 2013-11-04 |
1619215704 | Nurturing Concepts LLC | In Home Supportive Care | 5722 W North Ave, Milwaukee, WI 53208 | 2013-01-23 |
1831447986 | Amy Schuldt | Registered Nurse | 3727 W. Wisconsin Aveune, Milwaukee, WI 53208 | 2012-08-21 |
1144588922 | Grassroots Empowerment Project Inc | Community Health Worker | 3732 W Wisconsin Ave, Milwaukee, WI 53208 | 2012-04-30 |
1245468180 | Elizabeth Adams | Registered Nurse | 1917 N 34 Th St, Milwaukee, WI 53208 | 2009-06-30 |
Find all providers in zip 53208 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
1558995902 | Wesley Chiasson | Dentist | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2020-02-25 |
1598307738 | Hamdi Cem Gungor | Dentist | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2019-10-09 |
1407313521 | Jonathan Hanna | Dentist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2019-02-25 |
1104210277 | Alexandra Claire Korte | Dentist | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2015-03-26 |
1245629518 | Colleen Greene | Dentist | 9000 W Wisconsin Ave, Dental Center, Milwaukee, WI 53226-4874 | 2015-01-09 |
1538454400 | Carli Digioia | Dentist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2011-06-18 |
1700014354 | Jamie Lynn Bass | Dentist | 9000 W Wisconsin Ave, Dental Center, Milwaukee, WI 53226-4874 | 2009-06-22 |
1952507188 | Dana L Radtke | Dentist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-3518 | 2007-06-25 |
1467582916 | Wisconsin Dental Group, S.c. | Dentist | 9134 W Silver Spring Dr, Milwaukee, WI 53225-3414 | 2007-03-06 |
Find all providers in MILWAUKEE |
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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.