Russell Rene Holtz

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

MD00025214 Issued in WA

Practice address

1717 S J St
Tacoma, WA 98405-4933

Phone

(253) 627-4930

Fax

(253) 627-4649

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Creighton University School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rainier Anesthesia Associates PCGroup PAC ID 4284523499, 69 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rainier Anesthesia Associates PC

  • Anesthesiology Physician
  • Puyallup, WA
  • NPI 1487637013
  Medicare reassignment Care Compare group NPD
• Pacific Anesthesia PC

  • Anesthesiology Physician
  • Tacoma, WA
  • NPI 1497796452
  Medicare reassignment NPD
• Fox Medical Center

  • Family Medicine Physician
  • University Place, WA
  • NPI 1639748882
  NPD (past)
• Franciscan Medical Group

  • Family Medicine Physician
  • Tacoma, WA
  • NPI 1366539421
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184654840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3305 N 18TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984066003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S J ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054933",
            "telephone_number": "253-627-4930",
            "fax_number": "253-627-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTZ",
        "first_name": "RUSSELL",
        "middle_name": "RENE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD00025214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "50115",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/S REGENCE 90",
            "identifier": "HO6324",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1039940",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seth Geoffrey Holt, MD
• Diedre Leslie Holthaus, LCSW
• Paul Holthaus
• Matthew Donald Holtkamp, D.O.
• Cheryl Holts, LPN
• Reid D Holtzclaw-Swan, MD
• Ari Jacob Holtzman, MD
• Ory Holtzman, M.D.
• Joseph Francis Homann, M.D.
• Grace R Homany, MS

• Anesthesiology Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Anesthesiology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.