Active NPI
Siegfried K Holz MD PA
Doing business as Lakeland Open MRI
- Specialist
- Lakeland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME40704
- Legal business name
- SIEGFRIED K HOLZ MD PA
- Doing business as
- Lakeland Open MRI
- Practice address
- 3830 S Florida Ave
Lakeland, FL 33813-1105 - Phone
- (863) 646-8955
- Fax
- (863) 648-5216
- NPI assigned
- Oct 12, 2006
- Last updated
- Dec 4, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Siegfried K Holz, MD
- Title
- President
- Phone
- (863) 646-8955
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME40704 | FL | Primary |
Addresses
Primary practice location
3830 S Florida Ave
Lakeland, FL 33813-1105
Mailing address
3830 S Florida Ave
Lakeland, FL 33813-1105
Phone (863) 646-8955
Other names 1
- LAKELAND OPEN MRI
National Provider Directory
National Provider DirectoryLocations
3830 S Florida Ave
Lakeland, FL 33813
Phone (863) 519-0902
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Diagnostic Radiology Physician
- Lakeland, FL
- NPI 1932388915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449187200000",
"number": "1093804643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3830 S FLORIDA AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338131105",
"telephone_number": "863-646-8955",
"fax_number": "863-648-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3830 S FLORIDA AVE",
"city": "LAKELAND",
"state": "FL",
"postal_code": "338131105",
"telephone_number": "863-646-8955",
"fax_number": "863-648-5216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIEGFRIED K HOLZ MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2015-12-04",
"status": "A",
"authorized_official_last_name": "HOLZ",
"authorized_official_first_name": "SIEGFRIED",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "863-646-8955",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME40704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LAKELAND OPEN MRI",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.