MR. DONALD HOLZER (NPI# 1295727105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295727105 |
| Entity Type | Individual |
| Full Name | MR. DONALD HOLZER |
| Credential | MD |
| Practice Address |
3315 High St Portsmouth VA 23707-3319 |
| Practice Telephone | 7573990759 |
| Practice Fax Number | 7573978957 |
| Mailing Telephone | 7573990759 |
| Mailing Fax Number | 7573978957 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2011-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
0101234003 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRICARE STANDARD | 0500834 | 01 | |
| CORVEL WC PROVIDER NETWOR | 54-1951442 | 01 | |
| VA | HEALTH NETWORK | 54-1951442 | 01 |
| CIGNA | 6086731015 | 01 | |
| VA | BCBS | 465352 | 01 |
| HEALTHKEEPERS | 465352 | 01 | |
| SENTRA | 69674 | 01 | |
| VA | PHYSICIAN NETWORK | 0500834 | 01 |
| PENINSULA HEALTHCARE INC | 465352 | 01 | |
| VA | MEDICARE RAILROAD | P00022532 | 01 |
| ANTHEM | 465352 | 01 | |
| VA | 7119291 | 05 | |
| NC | 89066VY | 05 | |
| MIDATLANTIC HEALTH SOLUTI | 54-1951442 | 01 | |
| BENESIGHT | 54-1951442 | 01 | |
| OWCP | 150684200 | 01 | |
| PRIORITY HEALTH CARE INC | 465352 | 01 | |
| FOCUS | 54-1951442 | 01 |
| Street Address |
3315 HIGH ST |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23707-3319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659871580 | Jessica Wood | Nurse Practitioner | 3315 High St, Portsmouth, VA 23707-3319 | 2018-02-16 |
| 1992243646 | Karen Olmo | Physician Assistant | 3315 High St, Portsmouth, VA 23707-3319 | 2017-02-02 |
| 1538460837 | Bobbi Jo Oldaker | Nurse Practitioner | 3315 High St, Portsmouth, VA 23707-3319 | 2010-11-03 |
| 1871802413 | Maryview Hospital | Pain Medicine | 3315 High St, Portsmouth, VA 23707-3319 | 2010-09-30 |
| 1962682534 | Katie Jane Gerarge | Physician Assistant | 3315 High St, Portsmouth, VA 23707-3319 | 2007-11-12 |
| 1396847778 | Roberta Mary Stewart | Nurse Practitioner | 3315 High St, Portsmouth, VA 23707-3319 | 2006-09-05 |
| 1467444075 | William Luverne Little Jr. | Anesthesiology | 3315 High St, The Center for Pain Management, Portsmouth, VA 23707-3319 | 2005-08-19 |
| 1093707606 | Robert J Mendez | Anesthesiology | 3315 High St, Portsmouth, VA 23707-3319 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410382 | Ricky Lee Key Sr. | Counselor | Kaleidoscope Counseling and Case Management, 1712 Airline Blvd, Portsmouth, VA 23707 | 2019-07-30 |
| 1528627965 | Amy M Baker | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f Portsmouth Family Medicine, Portsmouth, VA 23707 | 2019-06-10 |
| 1033774625 | Himani Bhasin | Student in an Organized Health Care Education/Training Program | 3640 High Street (suite 2f), Evms Family Medicine - Portsmouth Program, Portsmouth, VA 23707 | 2019-05-08 |
| 1851854442 | Emma Daymond | Student in an Organized Health Care Education/Training Program | 3640 High Street, Suite 2f, Portsmouth, VA 23707 | 2019-04-10 |
| 1407329543 | Heart Harmony Home Health and Services | Home Health | 505 Cumberland Street, Suite 2, Portsmouth, VA 23707 | 2019-01-10 |
| 1548780869 | A. Richards Counseling & Psychotherapy, LLC | Substance Abuse Rehabilitation Facility | 720 Rodman Ave., Portsmouth, VA 23707 | 2017-06-27 |
| 1316485196 | Melinda Macy | Occupational Therapy Assistant | 314 Florida Ave, Portsmouth, VA 23707 | 2017-02-01 |
| 1831526045 | Anointed and Blessed Home Health Care, LLC | Home Health | 806 Loudoun Ave, Portsmouth, VA 23707 | 2013-10-02 |
| 1639236284 | The Center for Pain Management | Clinic/Center | 3315 High Street, Portsmouth, VA 23707 | 2007-01-02 |
| 1750444741 | Wal-mart Stores East, Lp | Technician/Technologist | 1098 Fredrick Blvd, Portsmouth, VA 23707 | 2006-12-19 |
| Find all providers in zip 23707 | ||||
| Taxonomy Code | 2084P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Pain Medicine |
| A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Psychiatry and Neurology, 2007. http://www.abpn.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Psychiatry and Neurology. A subspecialty certificate was approved by ABMS in 1998. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306949912 | Daniel Lee Darby | Psychiatry & Neurology | 1630 Donna Drive, Sutie 102, Virginia Beach, VA 23451-6188 | 2006-09-07 |
| 1619969227 | Robert Blaine Hansen | Psychiatry & Neurology | 6275 E Virginia Beach Blvd, Suite 303, Norfolk, VA 23502-2851 | 2005-08-19 |
| City | PORTSMOUTH |
| Zip Code | 23707 |
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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.