Matthew Wayne Holder, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

113907 Issued in MO

Practice address

3047 William St
Cape Girardeau, MO 63703-6393

Phone

(573) 339-5989

Fax

(573) 339-7092

NPI assigned

Mar 14, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mid America Rehab, P.C.

  • Physical Therapist
  • Cape Girardeau, MO
  • NPI 1639143357

  Athletic Trainer

  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962535054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 KEELEY AVE",
            "city": "SCOTT CITY",
            "state": "MO",
            "postal_code": "637801631",
            "telephone_number": "573-264-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3047 WILLIAM ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036393",
            "telephone_number": "573-339-5989",
            "fax_number": "573-339-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "MATTHEW",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "113907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liam Hoeh
• Hoff Medical Clinic, P.C.
• Dava Christine Hoffman, PA-C
• James E Hoffman, D.O.
• Christine Liana Hogendobler, C.R.N.A.
• Morgan Elizabeth Holdman, PLPC
• Preston Thomas Holifield, FNP-C
• Erika Holland
• Keisha Holloman
• Laura E Holmes, MD

• Athletic Trainer in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.