Alvin C. Holm, MD, Facp, PA

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

30351 Issued in MN

Legal business name

ALVIN C. HOLM, MD, FACP, PA

Practice address

559 Capitol Blvd
Saint Paul, MN 55103-2101

Phone

(651) 326-2173

Fax

(651) 232-2588

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Alvin Clark Holm, M.D.

Title

President

Phone

(651) 326-2173

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417078940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 CAPITOL BLVD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551032101",
            "telephone_number": "651-326-2173",
            "fax_number": "651-232-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 CAPITOL BLVD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551032101",
            "telephone_number": "651-326-2173",
            "fax_number": "651-232-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVIN C. HOLM, MD, FACP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLM",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-326-2173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MN",
            "license": "30351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Internal Medicine) Physician in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Geriatric Medicine (Internal Medicine) Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.