Richard C Holden, M.D.
Family Medicine in Watertown, WI. Individual provider (NPI-1).
NPI number1215005368
StatusActive
Last updated in NPPESAug 1, 2013
Details
- NPI
- 1215005368
- Entity type
- Individual (NPI-1)
- Name
- Richard C Holden
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 30, 2006
- Last updated
- Aug 1, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 20823 | WI | Yes |
Practice location
127 Hospital DrWatertown, WI 53098-3303
Phone 920-261-8500
Mailing address
127 Hospital DrWatertown, WI 53098-3303
Phone 920-261-8500 · Fax 920-261-8828
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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