Jon M Holden (NPI# 1174022198, PAC ID# 3072875525) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1174022198 |
| PAC ID by PECOS | 3072875525 |
| Professional Enrollment ID | I20180320002903 |
| Full Name | Jon M Holden |
| Organization Legal Name | AGAVE FAMILY PHYSICIANS PLLC |
| Address |
21300 N John Wayne Pkwy Suite 123 Maricopa AZ 85239-8964 |
| Phone Number | 5204947778 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4284634643 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 21300 N John Wayne Pkwy, Suite 123, Maricopa, AZ 85239-8964 | 5204947778 | AGAVE FAMILY PHYSICIANS PLLC |
| Organization Legal Name | AGAVE FAMILY PHYSICIANS PLLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle J Stoeckmann | Internal Medicine | Agave Family Physicians Pllc | 21300 N John Wayne Pkwy, Suite 123, Maricopa, AZ 85239-8964 |
| Steven C Macko | Family Medicine | Agave Family Physicians Pllc | 21300 N John Wayne Pkwy, Suite 123, Maricopa, AZ 85239-8964 |
| Brittany K Johnson | Physician Assistant | Agave Family Physicians Pllc | 21300 N John Wayne Pkwy, Suite 123, Maricopa, AZ 85239-8964 |
| Street Address |
21300 N JOHN WAYNE PKWY SUITE 123 |
| City | MARICOPA |
| State | AZ |
| Zip | 85239-8964 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle J Stoeckmann | Internal Medicine | Agave Family Physicians Pllc | 21300 N John Wayne Pkwy, Suite 123, Maricopa, AZ 85239-8964 |
| Shawn Douglas Gorsline | Physical Therapy | Petersen Physical Therapy PC | 21300 N John Wayne Pkwy, Suite 125, Maricopa, AZ 85139-8978 |
| Kimberly K Lee | Physical Therapy | Pinnacle Maricopa, LLC | 21300 N John Wayne Pkwy, Suite 107, Maricopa, AZ 85139-8964 |
| Ashesh H Sanghvi | Gastroenterology | Arizona Centers for Digestive Health Pllc | 21300 N John Wayne Pkwy, Suite 123, Maricopa, AZ 85139-8978 |
| Hilda M Flores Vidal | Internal Medicine | 21300 N John Wayne Pkwy, Bldg 7 Unit 116, Maricopa, AZ 85239-8964 | |
| Deidre J Russell | Obstetrics/gynecology | Momdoc LLC | 21300 N John Wayne Pkwy, Suite 121, Maricopa, AZ 85139-8978 |
| Lara Whitford | Podiatry | Foot and Ankle Clinics of Arizona | 21300 N John Wayne Pkwy, Suite 116, Maricopa, AZ 85139-8978 |
| Jennifer L Shaw | Obstetrics/gynecology | Momdoc LLC | 21300 N John Wayne Pkwy, Suite 121, Maricopa, AZ 85139-8978 |
| Brandon M Poulter | Physical Therapy | Pinnacle Maricopa, LLC | 21300 N John Wayne Pkwy, Suite 107, Maricopa, AZ 85139-8964 |
| Kelley Lawrence | Optometry | Desert Eyecare Center | 21300 N John Wayne Pkwy, Suite 105, Maricopa, AZ 85139-8964 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natassia L Williamson | Nurse Practitioner | Gila River Health Care Corporation | 48203 W Farrell Rd, Grhc/ak Chin, Maricopa, AZ 85239-0038 |
| Bernadine R Miu | Nurse Practitioner | Gila River Health Care Corporation | 48203 W Farrell Rd, Grhc/ak Chin, Maricopa, AZ 85239-0038 |
| Steven C Macko | Family Medicine | Agave Family Physicians Pllc | 21300 N John Wayne Pkwy, Suite 123, Maricopa, AZ 85239-8964 |
| Brittany K Johnson | Physician Assistant | Agave Family Physicians Pllc | 21300 N John Wayne Pkwy, Suite 123, Maricopa, AZ 85239-8964 |
| Danielle D Jennings | Nurse Practitioner | Sun Life Family Health Center Inc | 44765 Hathaway Ave, Maricopa, AZ 85239-9900 |
| Jonathan R Willms | Obstetrics/gynecology | Sun Life Family Health Center Inc | 44765 Hathaway Ave, Maricopa, AZ 85239-9900 |
| Vinnolia A Mcbride | Nurse Practitioner | Sun Life Family Health Center Inc | 44765 Hathaway Ave, Maricopa, AZ 85239-9900 |
| City | MARICOPA |
| Zip Code | 85239 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | MARICOPA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jon M Holden.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.