1205818465 NPI number — DR. JAMES WESTON HOLE DO

Table of content: KRISTIN M MARKMANN (NPI 1326581430)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205818465 NPI number — DR. JAMES WESTON HOLE DO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOLE
Provider First Name:
JAMES
Provider Middle Name:
WESTON
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DO
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205818465
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/06/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9300 VALLEY CHILDREN'S PL
Provider Second Line Business Mailing Address:
SC05
Provider Business Mailing Address City Name:
MADERA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93636
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
559-353-5714
Provider Business Mailing Address Fax Number:
559-353-5708

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9300 VALLEY CHILDREN'S PL
Provider Second Line Business Practice Location Address:
FE16
Provider Business Practice Location Address City Name:
MADERA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93636
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-353-6700
Provider Business Practice Location Address Fax Number:
559-353-6710
Provider Enumeration Date:
11/15/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207VM0101X , with the licence number:  20A17508 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 09033767 , issued by the state of ( MS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 226663 . This is a "JOHNS HOPKINS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 55603 . This is a "GEISINGER HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 895187 . This is a "HIGHMARK BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 258758 . This is a "UNISON-WMG" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 30139633 . This is a "AMERIHEALTH MERCY-YHOBGYN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 51546504 . This is a "BCBS - 1707 CENTER ST., STE 102" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 280819 . This is a "UNISON-YHCHC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 945886 . This is a "CAREFIRST MD BCBS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 20086844 . This is a "AMERIHEALTH MERCY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 20087482 . This is a "AMERIHEALTH MERCY-WMG" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 001638195 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1504289 . This is a "GATEWAY-WMG" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 50082457 . This is a "CAPITAL BLUE CROSS-WMG" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 100244 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 20091823 . This is a "AMERIHEALTH MERCY-YH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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