Active NPI
David M Holland, M.D.
- General Practice Physician
- Louisville, KY
National Provider Identifier
1265498992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 16256
- Practice address
- 2355 Poplar Level Rd
Ste. 200-a
Louisville, KY 40217-1395 - Phone
- (502) 636-7444
- Fax
- (502) 636-7340
- NPI assigned
- Apr 21, 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 16256 | KY | Primary |
Addresses
Primary practice location
2355 Poplar Level Rd
Ste. 200-a
Louisville, KY 40217-1395
Mailing address
PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000350759 | Other | KY | ANTHEM / NCMA |
| 047927 | Other | KY | SIHO ./ NCMA |
| 2446878000 | Other | KY | PASSPORT ADVANTAGE / NCMA |
| 2542519 | Other | KY | CIGNA / NCMA |
| 64162563 | Medicaid | KY | |
| 200510840 | Medicaid | IN | |
| 50005575 | Other | KY | PASSPORT / NCMA |
| 0000284121 | Other | KY | HUMANA / NCMA |
| P00181534 | Other | KY | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Past | Accepting new patients |
Locations
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
Interoperability endpoints
- dholland5997@direct.nortonhealthcare.org
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1588614994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468281600000",
"number": "1265498992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776351",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776351",
"telephone_number": "502-588-9490",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 POPLAR LEVEL RD",
"address_2": "STE. 200-A",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402171395",
"telephone_number": "502-636-7444",
"fax_number": "502-636-7340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "DAVID",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2016-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "KY",
"license": "16256",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM / NCMA",
"identifier": "000000350759",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIHO ./ NCMA",
"identifier": "047927",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE / NCMA",
"identifier": "2446878000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA / NCMA",
"identifier": "2542519",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64162563",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200510840",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT / NCMA",
"identifier": "50005575",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA / NCMA",
"identifier": "0000284121",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00181534",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.