Byron M. Holm, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BYRON M. HOLM, MD

Practice address

2855 Miller Dr
Suite 117
Plymouth, IN 46563-8091

Phone

(574) 936-7777

Fax

(574) 941-1072

NPI assigned

Nov 13, 2006

Last updated

May 25, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joann Heim

Title

Administrative Office Manager

Phone

(574) 936-7777

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Interoperability endpoints

• Direct secure messaging: byron.holm@lpm.directbygreenway.com

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Byron M Holm, MD

  • Family Medicine Physician
  • Plymouth, IN
  • NPI 1538154018
  NPD (past)
• Lisa Jones, NP

  • Nurse Practitioner
  • Plymouth, IN
  • NPI 1740275197
  NPD (past)
• Gina L Moore, FNP

  • Family Nurse Practitioner
  • Argos, IN
  • NPI 1992786248
  NPD (past)
• Jason P Palmateer, FNP

  • Family Nurse Practitioner
  • Mishawaka, IN
  • NPI 1083695332
  NPD (past)
• Dawn Marie Gavagan Simala Young, D.O.

  • Family Medicine Physician
  • Leland, NC
  • NPI 1750368726
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1003987538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 MILLER DR",
            "address_2": "SUITE 117",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465638091",
            "telephone_number": "574-936-7777",
            "fax_number": "574-941-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 MILLER DR",
            "address_2": "SUITE 117",
            "city": "PLYMOUTH",
            "state": "IN",
            "postal_code": "465638091",
            "telephone_number": "574-936-7777",
            "fax_number": "574-941-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYRON M. HOLM, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "HEIM",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "ADMINISTRATIVE OFFICE MANAGER",
        "authorized_official_telephone_number": "574-936-7777"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200276050",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "byron.holm@lpm.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2855 Miller Dr",
            "address_2": "Suite 117",
            "city": "Plymouth",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465638091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Lynn Buchanan, PHARM D
• Kayla A Buras, MSW
• Stephanie D Burger, ED.S.
• Elijah Burns
• Kaylee Busart
• Jennifer Cabannis, MS
• Cadwell Psychological Services, LLC
• Carrie Ann Cadwell, PSY.D.,HSPP
• Dawn Campbell, M.S.N./F.N.P.
• Manuel Johannes Cardenas Rivera, FNP-C

• Family Medicine Physician in Plymouth, IN
• Providers in Plymouth, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.