RICHARD C HOLDEN M.D.
NPI 1215005368
Family Medicine in Watertown, WI
NPI Status: Active since November 30, 2006
Contact Information
127 HOSPITAL DR
WATERTOWN, WI
ZIP 53098
Phone: (920) 261-8500
- Individual
- Male
- Family Medicine
- CLIA Number: 52D0388891
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
About RICHARD HOLDEN
This page provides the complete NPI Profile along with additional information for Richard Holden, a primary care provider established in Watertown, Wisconsin with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1215005368 assigned on November 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 20823 (WI). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1215005368
- Provider Name
- RICHARD C HOLDEN M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 127 HOSPITAL DR WATERTOWN, WI 53098
- Location Phone
- (920) 261-8500
- Mailing Address
- 127 HOSPITAL DR WATERTOWN, WI 53098
- Mailing Phone
- (920) 261-8500
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-30-2006
- Last Update Date
- 08-01-2013
- Code Navigator
A primary care provider (PCP) like Richard Holden sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 20823
- License State
- WI
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000330040 | MEDICARE ID-TYPE UNSPECIFIED (04) | WI | |
| B53659 | MEDICARE UPIN (02) | WI | |
| 30181200 | MEDICAID (05) | WI |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D0388891
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- RICHARD E. NEILS, MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Richard Holden in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 1 | 5 | 0 | 0 | 5 | 3 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 0 | 0 | 10 | 3 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 0 + 0 + 1 + 0 + 3 + 1 + 2 + 24 = 42 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 42 = 8 | 8 | ||||||||
The NPI number 1215005368 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720156896 | FREDERICK C GREMMELS D.O. Individual | Family Medicine | 127 HOSPITAL DR WATERTOWN, WI 53098 (920) 261-8500 |
| 1881164481 | MELODIE DEFOUW APNP Individual | Nurse Practitioner (Family) | 127 HOSPITAL DR WATERTOWN, WI 53098 (920) 261-8500 |
| 1033178512 | JOHN R BASARICH MD Individual | Family Medicine | 127 HOSPITAL DR WATERTOWN, WI 53098 (920) 261-8500 |
| 1013908771 | DR. ROBERT STEVEN LEGROW M.D. Individual | Family Medicine | 127 HOSPITAL DR WATERTOWN, WI 53098 (920) 261-8500 |
| 1083806814 | DANIELLE G. TONELLI DO Individual | Family Medicine | 127 HOSPITAL DR WATERTOWN, WI 53098 (920) 261-8500 |
| 1093883142 | MICHAEL E SULLIVAN M.D. Individual | Family Medicine | 127 HOSPITAL DR WATERTOWN, WI 53098 (920) 261-8500 |
| 1184252504 | LAUREN ASHLEY PEDERSON PA-C Individual | Physician Assistant (Medical) | 127 HOSPITAL DR WATERTOWN, WI 53098 (920) 261-8500 |
| 1811064942 | WATERTOWN FAMILY PRACTICE ASSOCIATES S.C. Organization | Family Medicine | 127 HOSPITAL DR WATERTOWN, WI 53098 (920) 261-8500 |
| 1922176064 | BRUCE J COCHRANE M.D. Individual | Family Medicine | 127 HOSPITAL DR WATERTOWN, WI 53098 (920) 261-8500 |
| 1912629908 | HEIDI PAULI APNP Individual | Nurse Practitioner (Family) | 127 HOSPITAL DR WATERTOWN, WI 53098 (920) 261-8500 |
| 1649979295 | LABORATORY CORPORATION OF AMERICA Organization | Clinical Medical Laboratory | 127 HOSPITAL DR WATERTOWN, WI 53098 (920) 545-0189 |
| 1376172007 | DR. ANNA CHRISTA STAMAS DO Individual | Family Medicine | 127 HOSPITAL DR WATERTOWN, WI 53098 (920) 261-8500 |
| 1225770472 | ASHLEY SMAGLICK APNP Individual | Nurse Practitioner | 127 HOSPITAL DR WATERTOWN, WI 53098 (920) 261-8500 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215005368, enumerated in the NPI registry as an "individual" on November 30, 2006
The provider is located at 127 Hospital Dr Watertown, Wi 53098 and the phone number is (920) 261-8500
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 52D0388891 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on November 30, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.