Tharon B. Holmberg, CRNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

307563 Issued in NY

Practice address

701 Seneca St Ste 646C
Buffalo, NY 14210-1372

Phone

(716) 995-4450

NPI assigned

Sep 4, 2008

Last updated

Sep 16, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, NY, FL, GA, NJ, TX6 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 6

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians

Dr Rebman Medical PAGroup PAC ID 3678087400, 88 clinicians

Ivy Medical Group PLLCGroup PAC ID 4981097797, 120 clinicians

Patient First Medical Practice PCGroup PAC ID 0042687006, 33 clinicians

Medical Director Services PCGroup PAC ID 0042501116, 79 clinicians

Lumina Care Medical NJ LLCGroup PAC ID 6608305156, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Easton Skilled Nursing and Rehabilitation Center Nursing home, Easton, PA, CCN 395540
• Mifflin Center Nursing home, Shillington, PA, CCN 395138
• Hillcrest Center Nursing home, Wyncote, PA, CCN 395481
• Bethlehem North Skilled Nursing and Rehabilitation Nursing home, Bethlehem, PA, CCN 395527
• York South Skilled Nursing and Rehabilitation Ctr Nursing home, York, PA, CCN 395309

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: ms_tholmber@landmarkhealth-direct.org
• Direct secure messaging: tholmberg@landmarkhealth-direct.org

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

• Daniel Funsch Jr, M.D., P.C.

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1316784580

  FL, PA

  Medicare reassignment Care Compare group NPD
• Lumina Care Medical NJ LLC

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1851118319

  NJ

  Medicare reassignment Care Compare group NPD
• Patient First Medical Practice PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Brooklyn, NY
  • NPI 1255067955

  GA, NJ, PA, TX

  Medicare reassignment Care Compare group NPD
• Dr Rebman Medical PA

  • Family Medicine Physician
  • Miami, FL
  • NPI 1669276689

  NY, PA

  Medicare reassignment Care Compare group NPD
• Medical Director Services PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Princess Anne, MD
  • NPI 1871955807

  FL, NJ, NY, PA

  Medicare reassignment Care Compare group NPD
• Ivy Medical Group PLLC

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1700558798

  FL, PA

  Medicare reassignment Care Compare group
• Carthage Area Hospital Inc

  • Critical Access Hospital
  • Carthage, NY
  • NPI 1053497388
  Medicare reassignment NPD
• Delphi Healthcare PLLC

  • Emergency Medicine Physician
  • Rochester, NY
  • NPI 1003075029

  Nurse Practitioner

  Medicare reassignment NPD
• Delphi Hospitalist Services LLC

  • Hospitalist Physician
  • Rochester, NY
  • NPI 1922270420
  Medicare reassignment NPD
• Dr Medical Services PC

  • Multi-Specialty Clinic/Center
  • New York, NY
  • NPI 1053012401
  Medicare reassignment NPD
• Dr Rebman BH LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • New York, NY
  • NPI 1114894540

  FL, NJ, PA

  Medicare reassignment NPD
• Mill Basin Medical Health PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1346006202
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• 1245 Church Road Operations LLC

  dba Hillcrest Center

  • Skilled Nursing Facility
  • Wyncote, PA
  • NPI 1639351943

  Nursing home

  Care Compare affiliation
• 200 Pauline Drive Operations LLC

  dba York South Skilled Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • York, PA
  • NPI 1326758046

  Nursing home

  Care Compare affiliation
• 2029 Westgate Drive Operations LLC

  dba Bethlehem North Skilled Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Bethlehem, PA
  • NPI 1497465116

  Nursing home

  Care Compare affiliation
• 2600 Northampton Street Operations LLC

  dba Easton Skilled Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Easton, PA
  • NPI 1598475204

  Nursing home

  Care Compare affiliation
• 500 East Philadelphia Avenue Operations LLC

  dba Mifflin Center

  • Skilled Nursing Facility
  • Shillington, PA
  • NPI 1063694370

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1871741785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PENN PLZ",
            "address_2": "8TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101190002",
            "telephone_number": "570-452-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SENECA ST STE 646C",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142101372",
            "telephone_number": "716-995-4450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Penn Plz",
            "address_2": "8th Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101190002",
            "country_code": "US",
            "telephone_number": "570-452-2138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMBERG",
        "first_name": "THARON",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP009917",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Marie Hollis, PHD
• Jerome Joseph Holloway Sr.
• Nadia Holloway
• Nicole Holloway, LMHC
• Amanda Lee Holman, DPT
• Juliet Maureen Holme
• Jennifer Ann Holmer Su, D.D.S.
• Amy Holmer
• Anna Holmes
• Charisma Holmes

• Adult Health Nurse Practitioner in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.