Holdermann, Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

License

DP00350 Issued in OR

Legal business name

HOLDERMANN, INC

Practice address

490 Murphy Rd
Medford, OR 97504-8144

Phone

(541) 779-5227

Fax

(541) 779-1938

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Heather Aileen Holdermann, D.P.M.NPI 1013935360

Title

Owner

Phone

(541) 779-5227

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Acute Foot & Ankle Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OR2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Aileen Holdermann, D.P.M.

  • Podiatrist
  • Medford, OR
  • NPI 1013935360
  Medicare reassignment Care Compare group NPD Authorized official
• William David Goforth, DPM

  • Foot & Ankle Surgery Podiatrist
  • Medford, OR
  • NPI 1366768699
  Medicare reassignment Care Compare group NPD
• James Shawn Holdermann, D.P.M.

  • Podiatrist
  • Medford, OR
  • NPI 1902824253
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1922032960",
    "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": {
        "organization_name": "HOLDERMANN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "HOLDERMANN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "AILEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-779-5227",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "DP00350",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "DP00351",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213610",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acute Foot & Ankle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stacey Leigh Hoins, O.D.
• Charlene Hoit, PHARMD
• Serena Hoke, LPC
• Holly S Holcomb, CADC I
• Heather Aileen Holdermann, D.P.M.
• James Shawn Holdermann, D.P.M.
• McKenzie Renea Holland
• Sarah Holland
• Shannon Lynn Holland, CHW
• Tara Ashley Holley, FNP

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.