Active NPI
Philip Holzknecht, M.D.
- Orthopaedic Surgery Physician
- South Boston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 0101244982
- Practice address
- 422 Hamilton Blvd
South Boston, VA 24592-5200 - Phone
- (434) 572-4074
- Fax
- (434) 572-4712
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 0101244982 | VA | Primary |
Addresses
Primary practice location
422 Hamilton Blvd
South Boston, VA 24592-5200
Mailing address
422 Hamilton Blvd
South Boston, VA 24592-5200
Phone (434) 572-4074
Other practice location 1
3701 Fairways Ct
Fredericksburg, VA 22408-0236
Phone (540) 848-1959
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| L3343 | Other | TX | MEDICAL LICENSE |
| P00045079 | Other | TX | MEDICARE RR |
| 148526001 | Medicaid | TX | |
| 0076948 | Other | TX | BLUE LINK |
| 8F4790 | Other | TX | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090805000258 | VA | Practitioner - Orthopedic Surgery | 2264585405 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Georgetown University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dominion Health Medical Assoc
Practice addresses (Care Compare)
422 Hamilton Blvd
South Boston, VA 24592-5200
Phone (434) 572-4074
Hospital & facility affiliations
- 1St Care Home Health South Boston
- Sentara Halifax Regional Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Virginia Orthopaedics & Sports Medicine | Orthopaedic Surgery | Current | Accepting new patients |
| Dominion Health Medical Assoc. | Orthopaedic Surgery | Current | Accepting new patients |
| Dominion Health Medical Assoc. | Current | Accepting new patients | |
| Dominion Health Medical Assoc | Current | Accepting new patients | |
| Scotland Orthopedics, PA | Past | Accepting new patients | |
| Scotland Orthopedics, PA | Orthopaedic Surgery | Past | Accepting new patients |
| Holzknecht Family Orthopedics of S Texas | Past | Accepting new patients | |
| Scotland Orthopedics, PA | Orthopaedic Surgery | Past | Accepting new patients |
| Dominion Health Medical Associates LTD | Past | Accepting new patients |
Locations
501 Park Hill Dr
Fredericksburg, VA 22401
Phone (540) 372-6737
422 Hamilton Blvd
South Boston, VA 24592
Phone (434) 572-4074
2232 Wilborn Ave
Ste F
South Boston, VA 24592
Phone (434) 517-8095
Interoperability endpoints
- pholzknecht647199@direct.sentara.net
- philipholzknecht@cvosm.allscriptsdirect.net
Organizations & group practices 9
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.
-
- Orthopaedic Surgery Physician
- Fredericksburg, VA
- NPI 1437194289
Orthopaedic Surgery, VA
-
- Specialist
- Laredo, TX
- NPI 1124171368
-
- Cardiovascular Disease Physician
- South Boston, VA
- NPI 1356138879
-
- Orthopaedic Surgery Physician
- South Boston, VA
- NPI 1306150545
Orthopaedic Surgery
-
- Non-Surgical Family Planning Clinic/Center
- South Boston, VA
- NPI 1992244172
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Pembroke, NC
- NPI 1033366885
-
- Orthopaedic Surgery Physician
- Laurinburg, NC
- NPI 1821128877
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Bennettsville, SC
- NPI 1831220060
Orthopaedic Surgery
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- South Boston, VA
- NPI 1487646113
-
- General Acute Care Hospital
- South Boston, VA
- NPI 1588668842
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1063423929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "422 HAMILTON BLVD",
"city": "SOUTH BOSTON",
"state": "VA",
"postal_code": "245925200",
"telephone_number": "434-572-4074",
"fax_number": "434-572-4712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "422 HAMILTON BLVD",
"city": "SOUTH BOSTON",
"state": "VA",
"postal_code": "245925200",
"telephone_number": "434-572-4074",
"fax_number": "434-572-4712"
}
],
"practiceLocations": [
{
"address_1": "3701 Fairways Ct",
"address_purpose": "LOCATION",
"city": "Fredericksburg",
"state": "VA",
"postal_code": "224080236",
"country_code": "US",
"telephone_number": "540-848-1959",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLZKNECHT",
"first_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "VA",
"license": "0101244982",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "L3343",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P00045079",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148526001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE LINK",
"identifier": "0076948",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8F4790",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Boston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.