Individual provider Active NPI

Stephen Holtzclaw, M.D.

  • Emergency Medicine Physician
  • Knoxville, TN
National Provider Identifier
1013960871
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D42658 Issued in MD
Practice address
265 Brookview Centre Way
Suite 400
Knoxville, TN 37919-4049
Phone
(865) 293-5310
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D42658 MD Primary

Addresses

Primary practice location

265 Brookview Centre Way
Suite 400
Knoxville, TN 37919-4049

Mailing address

265 Brookview Centre Way
Suite 400
Knoxville, TN 37919-4049
Phone (865) 293-5310

Other identifiers 1

IdentifierTypeStateIssuer
216711500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040519001638 MD Practitioner - Emergency Medicine 4486645389 Reassigns benefits to 1 organization
I20070907000636 FL Practitioner - Emergency Medicine 4486645389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Current Accepting new patients
Inphynet South Broward LLC Emergency Medicine CurrentSince Jun 1, 2007 Accepting new patients
Jamestown Physician Services of Ny PC PastSince Aug 1, 2012 Accepting new patients
North Georgia Pain Specialist, LLC PastSince Dec 31, 2009 Accepting new patients
Southeastern Hospitalist Services PC PastSince Jan 1, 2017 Accepting new patients
Exigence of Bradford LLC Emergency Medicine PastSince May 1, 2012 Accepting new patients
Dansville Anesthesia & Pain Treatment, PLLC PastSince Dec 31, 2009 Accepting new patients
Atlantic Professional Services of Rhode Island Incorporated PastSince Jul 1, 2012 Accepting new patients
Emergency Services of Zephyrhills PA Emergency Medicine Past Accepting new patients
Sullivan Urgent Aid Centers, LTD Emergency Medicine PastSince Sep 30, 2011 Accepting new patients
Mea-SJMC, LLC Emergency Medicine PastSince Sep 30, 2011 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation PastSince Jan 1, 2010 Accepting new patients
Ipc Hospitalists of New England PC PastSince Nov 23, 2015 Accepting new patients
Teaneck Anesthesia Group PA PastSince Jun 15, 2014 Accepting new patients
Utah Regional Hospitalists LLC PastSince Sep 1, 2021 Accepting new patients
Acs Emergency Services of Mississippi Professional Association Emergency Medicine PastSince Nov 25, 2008 Accepting new patients
DHP of Howard County PC PastSince Sep 5, 2012 Accepting new patients
Emergency Department Physicians, P.C. Emergency Medicine PastSince Sep 8, 2014 Accepting new patients
Mea-SJ Care Centers, LLC Emergency Medicine PastSince Sep 30, 2011 Accepting new patients
Ipn Emergency Physicians of North Florida PA Emergency Medicine PastSince Dec 1, 2010 Accepting new patients
Fremont Emergency Associates Inc Emergency Medicine PastSince Jul 16, 2012 Accepting new patients
Ny Acute Care Specialists PC PastSince Feb 21, 2011 Accepting new patients
West Boca Physicians Group Inc PastSince Oct 1, 2007 Accepting new patients
Acs Emergency Physicians PA Emergency Medicine PastSince Aug 1, 2006 Accepting new patients
Emergency Physician Associates of Maryland, P.C. Emergency Medicine Past Accepting new patients
Quantum Hospital Medicine Services of Texas PA PastSince Mar 1, 2012 Accepting new patients
Lima Anesthesia & Pain Treatment Professional Corporation PastSince Mar 9, 2015 Accepting new patients
Blue Lagoon Hospitalists Inc PastSince Apr 1, 2010 Accepting new patients
DHP of Montgomery PC PastSince Aug 10, 2012 Accepting new patients
DHP Emergency Services of Delaware PA PastSince Aug 10, 2012 Accepting new patients
Austin Immediate Care, LLC PastSince May 1, 2012 Accepting new patients
DHP of Rocky Mount PC PastSince May 22, 2017 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine PastSince Aug 1, 2006 Accepting new patients

Locations

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

4940 Eastern Ave
Baltimore, MD 21224

600 N Wolfe St
Baltimore, MD 21287

Organizations & group practices 33

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 33

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1013960871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BROOKVIEW CENTRE WAY",
            "address_2": "SUITE 400",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194049",
            "telephone_number": "865-293-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 BROOKVIEW CENTRE WAY",
            "address_2": "SUITE 400",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194049",
            "telephone_number": "865-293-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTZCLAW",
        "first_name": "STEPHEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D42658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216711500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.