| Ryan Alvin Holt, MD | |
|
325 E H St, Iron Mountain, MI 49801-4792 | |
| (906) 774-3000 | |
| Not Available |
| Full Name | Ryan Alvin Holt |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 325 E H St, Iron Mountain, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669430898 | NPI | - | NPPES |
| 100001898 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207LP2900X | Anesthesiology - Pain Medicine | 52380-020 (Wisconsin) | Secondary |
| 207L00000X | Anesthesiology | 239932 (New York) | Primary |
| Entity Name | Green Bay Anesthesia Assoc. Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023065836 PECOS PAC ID: 4486613858 Enrollment ID: O20041011000244 |
| Entity Name | Vituity-wisconsin Anesthesia Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821831975 PECOS PAC ID: 2163968819 Enrollment ID: O20240718002237 |
| Entity Name | Osms Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447017983 PECOS PAC ID: 3779020896 Enrollment ID: O20240806003565 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Alvin Holt, MD 325 E H St, Iron Mountain, MI 49801-4792 Ph: (906) 774-3000 | Ryan Alvin Holt, MD 325 E H St, Iron Mountain, MI 49801-4792 Ph: (906) 774-3000 |
Maria Occhietti, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1721 S Stephenson Ave, Iron Mountain, MI 49801 Phone: 906-776-5457 |