NPIMap

Organization Active NPI

Jean a Holdren DO PC

  • Internal Medicine Physician
  • East Liverpool, OH
National Provider Identifier
1497766554
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34006738 Issued in OH
Legal business name
JEAN A HOLDREN DO PC
Practice address
16687 St Clair Ave
Suite 108
East Liverpool, OH 43920
Phone
(330) 386-5004
Fax
(330) 386-6355
NPI assigned
Aug 11, 2006
Last updated
Sep 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Dr. Jean A Holdren, DONPI 1588675631
Title
Physician Owner of Practice
Phone
(330) 386-5004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34006738 OH Primary
Internal Medicine Physician 207R00000X 0S009111L PA

Addresses

Primary practice location

16687 St Clair Ave
Suite 108
East Liverpool, OH 43920

Mailing address

16687 St Clair Ave
Suite 108
East Liverpool, OH 43920
Phone (330) 386-5004

National Provider Directory

National Provider Directory

Locations

701 Sharon Rd
Ste 1
Beaver, PA 15009
Phone (724) 728-9202

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1497766554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16687 ST CLAIR AVE",
            "address_2": "SUITE 108",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "43920",
            "telephone_number": "330-386-5004",
            "fax_number": "330-386-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16687 ST CLAIR AVE",
            "address_2": "SUITE 108",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "43920",
            "telephone_number": "330-386-5004",
            "fax_number": "330-386-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN A HOLDREN DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "HOLDREN",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN OWNER OF PRACTICE",
        "authorized_official_telephone_number": "330-386-5004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34006738",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "0S009111L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.