DR. DAVID O HOLTZ (NPI# 1215907084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215907084 |
| Entity Type | Individual |
| Full Name | DR. DAVID O HOLTZ |
| Credential | MD |
| Practice Address |
100 E Lancaster Ave 661 Lankenau Mob East Wynnewood PA 19096-3450 |
| Practice Telephone | 6106498085 |
| Practice Fax Number | 6106498984 |
| Mailing Telephone | 6106498085 |
| Mailing Fax Number | 6106498984 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2015-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
MD072161L | PA | Allopathic & Osteopathic Physicians |
| Street Address |
100 E LANCASTER AVE 661 LANKENAU MOB EAST |
| City | WYNNEWOOD |
| State | PA |
| Zip Code | 19096-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003819079 | Robert D. Smink Jr. | Surgery | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2005-05-24 |
| 1164021713 | Clay Johnson | Physician Assistant | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-10-23 |
| 1447858725 | Anthony Montello | Nurse Anesthetist, Certified Registered | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-10-09 |
| 1982216107 | Delaware Valley I.d. Associates, P.C. | Clinic/Center | 100 E Lancaster Ave, Mob East 556, Wynnewood, PA 19096 | 2020-08-19 |
| 1831708551 | Farouk Al Chami | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-28 |
| 1225647944 | Farah Olleik | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-28 |
| 1134738859 | Talar Telvizian | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-28 |
| 1962011833 | Fares Sukhon | Student in an Organized Health Care Education/Training Program | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-27 |
| 1700494028 | Aviad Lavian | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-22 |
| 1700404472 | Dalia Amrom | Internal Medicine | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-07-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727866 | Jeffrey Glenn Johnston | Hospitalist | Lankenau Medical Center. 100 E Lancaster Ave, Wynnewood, PA 19096 | 2020-03-27 |
| 1326500331 | Maitri Pancholy | Student in an Organized Health Care Education/Training Program | Annenberg Center, G-10, 100 Lancaster Avenue, Wynnewood, PA 19096 | 2019-04-01 |
| 1306355987 | Karie Elizabeth Melton | Social Worker | 250 E Wynnewood Rd E12, Wynnewood, PA 19096 | 2017-09-26 |
| 1518320662 | Kaitlyn Kennard | Surgery | 100 Lancaster Ave Mob South Suite 422, Wynnewood, PA 19096 | 2016-04-05 |
| 1366814675 | Linda Elkins | Counselor | 543 Haverford Rd, Wynnewood, PA 19096 | 2015-10-26 |
| 1619347655 | Tessa Kovick | Registered Nurse | 100 E Lancaster Ave Ste 114, Wynnewood, PA 19096 | 2015-10-02 |
| 1922476415 | Amy Lenrow | Skilled Nursing Facility | 1510 Powder Mill Lane, Wynnewood, PA 19096 | 2015-09-14 |
| 1144602855 | Casey Dajao | Internal Medicine | 100 E Lancaster Ave Ste 140, Wynnewood, PA 19096 | 2015-06-18 |
| 1649666223 | Benjamin Larson | Internal Medicine | 100 E Lancaster Ave Ste B11, Wynnewood, PA 19096 | 2015-04-10 |
| 1760873285 | Kathleen Gilmartin | Nurse Practitioner | 100 East Lancaster Ave, Wynnewood, PA 19096 | 2015-02-06 |
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| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205179611 | Lauren B Turker | Obstetrics & Gynecology | 100 E Lancaster Ave Ste 661, Wynnewood, PA 19096-3437 | 2013-04-03 |
| 1285800854 | Xiaomang Ba Stickles | Obstetrics & Gynecology | 100 E Lancaster Ave, Suie 661 Mob East, Wynnewood, PA 19096-3450 | 2008-05-05 |
| 1518002567 | Scott Daniel Richard | Obstetrics & Gynecology | 100 E Lancaster Ave Ste 661, Wynnewood, PA 19096 | 2007-02-20 |
| 1336119114 | Charles J Dunton | Obstetrics & Gynecology | 100 E Lancaster Ave, 661 Lankenau Mob East, Wynnewood, PA 19096-3450 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588093918 | Rodrigue Mortel | Obstetrics & Gynecology | 1229 Sand Hill Rd, Hummelstown, PA 17036-9791 | 2013-11-06 |
| 1942641865 | Gynecologic Oncology of Lehigh Valley, LLC | Obstetrics & Gynecology | 1611 Pond Rd Ste 101, Allentown, PA 18104-2258 | 2013-07-08 |
| 1750618385 | Robert L Giuntoli | Obstetrics & Gynecology | 4537 Pine St, Philadelphia, PA 19143-1805 | 2009-11-03 |
| 1396989281 | Chester County Ob Gyn Services | Obstetrics & Gynecology | 915 Old Fernhill Road, Building D Suite 502, West Chester, PA 19380 | 2009-04-23 |
| 1962682021 | John T Comercijr Md PC | Obstetrics & Gynecology | 307 Thorn St, Sewickley, PA 15143-1405 | 2007-11-06 |
| 1356496038 | Philadelphia Health & Education Corporation | Obstetrics & Gynecology | 246 North Broad St, 15th Floor South Tower, Philadelphia, PA 19102 | 2007-01-24 |
| 1134279052 | David F Silver | Obstetrics & Gynecology | 150 Corporate Center Dr Ste 202, Camp Hill, PA 17011-1759 | 2007-01-11 |
| 1336230242 | Tower Health Medical Group | Obstetrics & Gynecology | 420 S 5th Ave Bldg N, West Reading, PA 19611-2143 | 2006-09-27 |
| 1245248988 | Eileen M Segreti | Obstetrics & Gynecology | 4815 Liberty Ave Ste 310, Pittsburgh, PA 15224-2156 | 2006-08-04 |
| 1649298498 | Cancer Care for Women PC | Obstetrics & Gynecology | 694 Good Drive, Suite 205, Lancaster, PA 17604 | 2006-07-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.