Individual provider Active NPI

Donald Holzer, MD

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Portsmouth, VA
National Provider Identifier
1295727105
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
License
0101234003 Issued in VA
Practice address
3315 High St
Portsmouth, VA 23707-3319
Phone
(757) 399-0759
Fax
(757) 397-8957
NPI assigned
Aug 17, 2005
Last updated
Mar 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X 0101234003 VA Primary

Addresses

Primary practice location

3315 High St
Portsmouth, VA 23707-3319

Mailing address

3315 High St
Portsmouth, VA 23707-3319
Phone (757) 399-0759

Other identifiers 18

IdentifierTypeStateIssuer
465352OtherVABCBS
54-1951442OtherCORVEL WC PROVIDER NETWOR
54-1951442OtherFOCUS
7119291MedicaidVA
0500834OtherTRICARE STANDARD
150684200OtherOWCP
89066VYMedicaidNC
465352OtherHEALTHKEEPERS
54-1951442OtherMIDATLANTIC HEALTH SOLUTI
465352OtherPRIORITY HEALTH CARE INC
69674OtherSENTRA
0500834OtherVAPHYSICIAN NETWORK
465352OtherANTHEM
465352OtherPENINSULA HEALTHCARE INC
54-1951442OtherVAHEALTH NETWORK
6086731015OtherCIGNA
P00022532OtherVAMEDICARE RAILROAD
54-1951442OtherBENESIGHT

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

State licenses

LicenseStateTypeSpecialty
0101234003VAMDPain Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Pain Management Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1295727105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 HIGH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073319",
            "telephone_number": "757-399-0759",
            "fax_number": "757-397-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 HIGH ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073319",
            "telephone_number": "757-399-0759",
            "fax_number": "757-397-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZER",
        "first_name": "DONALD",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "VA",
            "license": "0101234003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "465352",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORVEL WC PROVIDER NETWOR",
            "identifier": "54-1951442",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FOCUS",
            "identifier": "54-1951442",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7119291",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE STANDARD",
            "identifier": "0500834",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "150684200",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89066VY",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHKEEPERS",
            "identifier": "465352",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDATLANTIC HEALTH SOLUTI",
            "identifier": "54-1951442",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH CARE INC",
            "identifier": "465352",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTRA",
            "identifier": "69674",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN NETWORK",
            "identifier": "0500834",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "465352",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENINSULA HEALTHCARE INC",
            "identifier": "465352",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NETWORK",
            "identifier": "54-1951442",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6086731015",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00022532",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BENESIGHT",
            "identifier": "54-1951442",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.