JOHN HAYDEN HOLTZCLAW (NPI# 1679069819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679069819 |
| Entity Type | Individual |
| Full Name | JOHN HAYDEN HOLTZCLAW |
| Credential | AU.D. |
| Practice Address |
1340 Wonder World Dr Ste 4301 San Marcos TX 78666-7695 |
| Mailing Address |
3705 Medical Pkwy Ste 320 Austin TX 78705-1023 |
| Practice Telephone | 8555478369 |
| Practice Fax Number | 5127388396 |
| Mailing Telephone | 5124540392 |
| Mailing Fax Number | 5124541233 |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2019-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 80958 | TX | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS AUDIOLOGIST LICENSE | 80958 | 01 |
| Street Address |
1340 WONDER WORLD DR STE 4301 |
| City | SAN MARCOS |
| State | TX |
| Zip Code | 78666-7695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588774061 | Michael John Benca | Internal Medicine | 1340 Wonder World Dr Ste 4301, San Marcos, TX 78666-7695 | 2006-08-30 |
| 1134747934 | Devin Collett | Audiologist | 1340 Wonder World Dr Ste 4301, San Marcos, TX 78666-7695 | 2020-07-08 |
| 1801398235 | Henry Martinez | Nurse Practitioner | 1340 Wonder World Dr Ste 4301, San Marcos, TX 78666-7695 | 2018-03-01 |
| 1467855676 | Leslie Lenhard | Nurse Practitioner | 1340 Wonder World Dr Ste 4301, San Marcos, TX 78666-7695 | 2014-10-01 |
| 1700013398 | Christopher Louis Jimenez | Orthopaedic Surgery | 1340 Wonder World Dr Ste 4301, San Marcos, TX 78666-7695 | 2009-06-22 |
| 1104024280 | Specialty Physicians of Central Texas | Clinic/Center | 1340 Wonder World Dr Ste 4301, San Marcos, TX 78666-7695 | 2007-07-10 |
| 1154447852 | Jessica Camille Sanders | Nurse Practitioner | 1340 Wonder World Dr Ste 4301, San Marcos, TX 78666-7695 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656198 | Jodie Lynn Stauffer | Social Worker | 2497 Fm 1979, San Marcos, TX 78666 | 2020-10-14 |
| 1619590965 | Ann Mary Carney | Occupational Therapist | 302 Riverside Dr, San Marcos, TX 78666 | 2020-05-21 |
| 1811510381 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 101 Concho St, San Marcos, TX 78666 | 2020-05-19 |
| 1174157101 | Chase Joseph Gibson | Specialist/Technologist | 616 N Lbj Dr, Beretta Hall 401, San Marcos, TX 78666 | 2020-02-28 |
| 1548800782 | Emily Granger | Specialist/Technologist | 106 Charles Austin Dr, San Marcos, TX 78666 | 2020-01-15 |
| 1689138562 | Joseph Richard Lednicky | Specialist/Technologist | 700 Aquarena Springs Drive, San Marcos, TX 78666 | 2019-01-25 |
| 1376007336 | Viktoria Guerrero | Specialist/Technologist | Jowers Access Rd, San Marcos, TX 78666 | 2019-01-24 |
| 1336611771 | Joan Marie Wood | Occupational Therapist | Cole Pediatric Therapy, 101 Uhland Rd, San Marcos, TX 78666 | 2018-12-26 |
| 1851861496 | Kingfisher Health LLC | Home Health | 125 Mccarty Lane, San Marcos, TX 78666 | 2018-11-27 |
| 1669954723 | Christopher Macha | Student in an Organized Health Care Education/Training Program | 1 Jowers Access Road, San Marcos, TX 78666 | 2018-09-05 |
| Find all providers in zip 78666 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225134042 | Lori Lynn Stiritz | Audiologist | 601 University Dr Texas State University San Marcos, Speech Language Hearing Clinic, San Marcos, TX 78666 | 2006-09-16 |
| 1871580233 | Gregory William Hall | Audiologist | 910 W San Marcos Blvd, Suite 102, San Marcos, CA 92078-1115 | 2005-09-30 |
| 1134747934 | Devin Collett | Audiologist | 1340 Wonder World Dr Ste 4301, San Marcos, TX 78666-7695 | 2020-07-08 |
| 1205361920 | Katie Gilbert | Audiologist | 1320 Wonder World Dr, 107, San Marcos, TX 78666-7557 | 2017-05-01 |
| 1518347277 | Texas State University | Audiologist | 601 University Dr, Speech and Hearing Clinic, San Marcos, TX 78666-4684 | 2015-06-08 |
| 1619318094 | Jasmine Nicole Burrington | Audiologist | 1340 Wonder World Dr, Suite 4301, San Marcos, TX 78666-7598 | 2013-07-12 |
| 1891134029 | Emilie A Galemore | Audiologist | 601 University Dr, Health Professions Building, Rm 150, San Marcos, TX 78666-4684 | 2013-06-20 |
| 1710238035 | Connect Hearing, Inc. | Audiologist | 1635 Lake San Marcos Dr, Suite 108, San Marcos, CA 92078-4680 | 2012-09-26 |
| 1962705434 | Seton Ent | Audiologist | 601b Leah Ave, San Marcos, TX 78666-7849 | 2010-12-06 |
| 1083849574 | Dwayne Lizar | Audiologist | 1740 La Costa Meadows Dr, Suite 144, San Marcos, CA 92078-5199 | 2009-05-27 |
| Find all providers in SAN MARCOS | ||||
| City | SAN MARCOS |
| Zip Code | 78666 |
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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.