Cali Holan, MD
Individual provider Active NPI Emergency Medicine Physician · Woodruff, WI
NPI 1063454262 · NPPES record last updated Sep 9, 2019
Key facts
- NPI
- 1063454262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 35073504 (OH)
- Practice address
- 240 Maple St
Woodruff, WI 54568 - Phone
- (715) 356-8920
- NPI assigned
- Jun 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 25
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Metrohealth System
Practice addresses (Care Compare)
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800
Hospital & facility affiliations
- Metrohealth System
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150617001854 | OH | Practitioner - Emergency Medicine | 3072645340 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35073504 | OH | MD | Emergency Medicine Physician |
| 44927 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Current |
Accepting new patients | |
| The Metrohealth System | Current | Accepting new patients | |
| The Metrohealth System | Emergency Medicine | Current |
Accepting new patients |
| Emergency Medicine Physicians of Carteret County, PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348
Interoperability endpoints
- cholan137623@direct.metrohealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 44927 | WI | |
| Emergency Medicine Physician | 207P00000X | 35073504 | OH | Yes |
Addresses
Primary practice location
240 Maple St
Woodruff, WI 54568
Mailing address
240 Maple St
Woodruff, WI 54568-9190
Phone (715) 356-8000
Other practice location 1
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800
Other providers in Woodruff, WI
- Ann E Hendrick
- Mary L Hertel
- Kelsey Hinterleitner
- Yvette K Hittle
- Steven M. Hoffmeister
- Greg S Holt
- Elizabeth Lee Horwath
- Howard Young Medical Center Inc of Woodruff Wisconsin
- Howard Young Medical Center Inc of Woodruff Wisconsin
- Ideal Dental Inc.
All providers in Woodruff, WI · Emergency Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.