Provider Demographics
NPI:1205818465
Name:HOLE, JAMES WESTON (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WESTON
Last Name:HOLE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:9300 VALLEY CHILDREN'S PL
Mailing Address - Street 2:SC05
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93636
Mailing Address - Country:US
Mailing Address - Phone:559-353-5714
Mailing Address - Fax:559-353-5708
Practice Address - Street 1:9300 VALLEY CHILDREN'S PL
Practice Address - Street 2:FE16
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93636
Practice Address - Country:US
Practice Address - Phone:559-353-6700
Practice Address - Fax:559-353-6710
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2020-01-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A17508207VM0101X, 207VM0101X
ALDO.999207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS09033767Medicaid
PA226663OtherJOHNS HOPKINS
PA55603OtherGEISINGER HEALTH PLAN
PA895187OtherHIGHMARK BLUE SHIELD
PA258758OtherUNISON-WMG
PA30139633OtherAMERIHEALTH MERCY-YHOBGYN
AL51546504OtherBCBS - 1707 CENTER ST., STE 102
PA280819OtherUNISON-YHCHC
MD945886OtherCAREFIRST MD BCBS
PA20086844OtherAMERIHEALTH MERCY
PA20087482OtherAMERIHEALTH MERCY-WMG
PA001638195Medicaid
PA1504289OtherGATEWAY-WMG
PA50082457OtherCAPITAL BLUE CROSS-WMG
AL100244Medicaid
PA20091823OtherAMERIHEALTH MERCY-YH
PA30139633OtherAMERIHEALTH MERCY-YHOBGYN
PA895187OtherHIGHMARK BLUE SHIELD
PA1504289OtherGATEWAY-WMG
MS09033767Medicaid