James Shawn Holdermann, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

DP00351 Issued in OR

Practice address

490 Murphy Rd
Medford, OR 97504-8144

Phone

(541) 779-5227

Fax

(541) 779-1938

NPI assigned

Jul 17, 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 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holdermann IncGroup PAC ID 1254234875, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holdermann, Inc

  dba Acute Foot & Ankle Center

  • Podiatrist
  • Medford, OR
  • NPI 1922032960
  Medicare reassignment Care Compare group NPD
• Brian Kreul MD PC

  • Specialist
  • Medford, OR
  • NPI 1659699585
  NPD (past)
• Kentucky Foot & Ankle Associates PLLC

  • Foot & Ankle Surgery Podiatrist
  • Lexington, KY
  • NPI 1114053584
  NPD (past)
• Louisville Foot and Ankle Associates, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Louisville, KY
  • NPI 1538378930
  NPD (past)

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

• Asante

  dba Asante Rogue Regional Medical Center

  • General Acute Care Hospital
  • Medford, OR
  • NPI 1770587107
  Care Compare affiliation

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1902824253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 MURPHY RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048144",
            "telephone_number": "541-779-5227",
            "fax_number": "541-779-1938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 MURPHY RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048144",
            "telephone_number": "541-779-5227",
            "fax_number": "541-779-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDERMANN",
        "first_name": "JAMES",
        "middle_name": "SHAWN",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "DP00351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "299111",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlene Hoit, PHARMD
• Serena Hoke, LPC
• Holly S Holcomb, CADC I
• Heather Aileen Holdermann, D.P.M.
• Holdermann, Inc (Acute Foot & Ankle Center)
• McKenzie Renea Holland
• Sarah Holland
• Shannon Lynn Holland, CHW
• Tara Ashley Holley, FNP
• Therese Holliday, LMT, CCA

• Podiatrist in Medford, OR
• Providers in Medford, OR by specialty
• Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.