Nicholas Ray Von Holten, PA-C
Nicholas Ray Von Holten, PA-C is a Physician Assistant in Bloomington, Illinois. Qualified in 2019, 7 years ago. Practices with Emergency Coverage LLC, a 771-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 7
- Licensed in
- IL
- In the registry since
- 2019
- Specialties on file
- 3
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1111 Trinity Ln Ste 111Bloomington, IL 61704-8112
Phone: (309) 663-6461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 085.007292 (IL) |
|---|---|
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence 085.007292 (IL) |
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 085.007292 (IL) |
Record details
| NPI number | 1063054278 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | October 9, 2019 |
| Last updated in NPPES | October 9, 2019 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Emergency Coverage Llc — 771 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Bloomington
-
Alicia Renee High, PA-C
1701 E College Ave Dept OF Orthopaedics, Bloomington, IL 61704-2101 · (309) 664-3038