Active NPI
Jonathan Abraham Holmer, CRNA, MSN, RN
- Certified Registered Nurse Anesthetist
- Akron, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26723
- Practice address
- 525 E Market St
Akron, OH 44304-1619 - Phone
- (330) 375-3000
- NPI assigned
- Jan 23, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Kokomo, IN
- NPI 1982736377
-
- Ambulatory Surgical Clinic/Center
- Kokomo, IN
- NPI 1295935484
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kokomo, IN
- NPI 1780625442
Care Compare affiliation Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St. Joseph Primary Care, LLC
Practice addresses (Care Compare)
1907 W Sycamore St
Kokomo, IN 46901-5148
Phone (765) 456-5433
Hospital & facility affiliations
- Ascension St Vincent Kokomo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210310001054 | IN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7012256399 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26723 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph Primary Care, LLC | Current | Accepting new patients | |
| St. Joseph Primary LLC | Current | Accepting new patients |
Locations
250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331
3109 W Sycamore St
Kokomo, IN 46901
Phone (765) 457-1191
1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 26723 | OH | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
525 E Market St
Akron, OH 44304-1619
Mailing address
311 Bridgeport TRL
Richmond Heights, OH 44143-1465
Phone (505) 720-8468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 23, 2019.
{
"created_epoch": "1548201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1821552993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 BRIDGEPORT TRL",
"city": "RICHMOND HEIGHTS",
"state": "OH",
"postal_code": "441431465",
"telephone_number": "505-720-8468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E MARKET ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443041619",
"telephone_number": "330-375-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMER",
"first_name": "JONATHAN",
"middle_name": "ABRAHAM",
"credential": "CRNA, MSN, RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-23",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "26723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.