Siegfried K Holz MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME40704 Issued in FL

Legal business name

SIEGFRIED K HOLZ MD PA

Practice address

3830 S Florida Ave
Lakeland, FL 33813-1105

Phone

(863) 646-8955

Fax

(863) 648-5216

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other identifiers 13

Other names 1

• LAKELAND OPEN MRI Doing business as

Locations

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - LAKELAND",
            "identifier": "2376442",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - BRANDON",
            "identifier": "V2921",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - BRANDON",
            "identifier": "2376427",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257741103",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2577411",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - SUN CITY CENTER",
            "identifier": "V2920",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA TAMPA",
            "identifier": "2376434",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257741101",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257741102",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - LAKELAND",
            "identifier": "V2922",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257741100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA  SUN CITY CENTER",
            "identifier": "2376442",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - TAMPA",
            "identifier": "V2923",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAKELAND OPEN MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abul Fazal Siddiqui
• Kelly E. Sidler, PTA22900
• Alexander Michael Sidor, MD
• Debbie B Sieber, LMT
• Tracy Lynn Siebold, APRN
• Siegfried K Holz MD PA
• Ana Laura Sierra, ARNP
• Sight and Sun Eyeworks LLC
• Sijache LLC
• Blessy Silas, CRNA

• Specialist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Specialist in Florida

• 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.

Verify at the official NPI Registry.