CRAIG D HOLMAN CHARTERED (NPI# 1609085455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609085455 |
| Entity Type | Organization |
| Organization Name | CRAIG D HOLMAN CHARTERED |
| Other Organization Name | MAGIC VALLEY FOOT & ANKLE SPECIALIST |
| Practice Address |
496 Shoup Ave W # B Twin Falls ID 83301-5043 |
| Practice Telephone | 2087347676 |
| Practice Fax Number | 2087368378 |
| Mailing Telephone | 2087347676 |
| Mailing Fax Number | 2087368378 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | DR. CRAIG D HOLMAN (OWNER) |
| Authorized Official Telephone | 2087347676 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | P119 | ID | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | DMERC | 4134570001 | 01 |
| ID | BLUE CROSS OF IDAHO | P9343 | 01 |
| ID | REGENCE BLUE SHIELD OF ID | 000010152611 | 01 |
| ID | US DEPT OF LABOR | 185440600 | 01 |
| ID | RAILROAD MEDICARE | 480031477 | 01 |
| Other Name | Type Code |
|---|---|
| Magic Valley Foot & Ankle Specialist | Other Name - Individual/Organization |
| Street Address |
496 SHOUP AVE W # B |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 83301-5043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
| 1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
| 1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
| 1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
| 1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
| 1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
| 1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
| 1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
| 1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
| 1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
| Find all providers in zip 83301 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326496910 | Advanced Foot & Ankle of Magic Valley, Pllc | Podiatrist | 176 Falls Ave Ste 200, Twin Falls, ID 83301-2306 | 2016-05-25 |
| 1760403364 | Cory A Pilling | Podiatrist | 676 Shoup Ave W Ste 12, Twin Falls, ID 83301-4615 | 2006-07-21 |
| 1659551810 | Peter Rickards | Podiatrist | 440 Fairfield St N, Suite 2, Twin Falls, ID 83301-6129 | 2007-11-05 |
| 1295890648 | Blackmer Foot & Ankle Group Pa | Podiatrist | 191 Addison Ave, Twin Falls, ID 83301-5177 | 2006-12-26 |
| 1396847125 | David A Blackmer | Podiatrist | 191 Addison Ave, Twin Falls, ID 83301-5177 | 2006-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968750 | Family Foot and Ankle of Idaho, LLC | Podiatrist | 349 W Bacall Dr, Meridian, ID 83646-7391 | 2020-10-01 |
| 1740824762 | Idaho Complete Foot Care | Podiatrist | 880 Redman St, Chubbuck, ID 83202-2655 | 2019-11-01 |
| 1346883261 | Monarch Medical LLC | Podiatrist | 423 N 3rd Ave Ste 110, Sandpoint, ID 83864-1511 | 2019-10-23 |
| 1629223110 | Kyle R. Yorgason | Podiatrist | 1075 N Curtis Rd Ste 300, Boise, ID 83706-1348 | 2008-11-25 |
| 1669516738 | Valley Foot & Ankle, PC | Podiatrist | 1455 Bench Rd Ste B, Pocatello, ID 83201-5084 | 2007-02-20 |
| 1629111497 | Michael K. James | Podiatrist | 3345 S Holmes Ave, Idaho Falls, ID 83404-7981 | 2007-02-14 |
| 1790864619 | Valley Foot & Ankle, PC | Podiatrist | 1455 Bench Rd, Suite B, Pocatello, ID 83201 | 2006-11-02 |
| 1629185426 | Ronald Ray Vogel | Podiatrist | 12717 N Avondale Loop, Hayden, ID 83835-7531 | 2006-08-25 |
| 1790792216 | Charles Frank Call IIi | Podiatrist | 718 Beulahs Ln, Idaho Falls, ID 83401-2340 | 2006-08-01 |
| 1063426948 | William Scott Stano | Podiatrist | 220 W Jefferson St, Boise, ID 83702-6044 | 2006-07-28 |
| Find all providers with the same taxonomy | ||||
| City | TWIN FALLS |
| Zip Code | 83301 |
Please comment or provide details below to improve the information on CRAIG D HOLMAN CHARTERED.
| 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.