Daniel T Holley MD PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

ME73391 Issued in FL

Legal business name

DANIEL T HOLLEY MD PA

Practice address

2065 South Kanner Highway
Stuart, FL 34994

Phone

(772) 286-0677

Fax

(772) 286-6720

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Daniel Thomas Holley, MDNPI 1023102886

Title

President

Phone

(772) 286-0677

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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.

• Daniel T Holley, MD

  • Plastic Surgery Physician
  • Stuart, FL
  • NPI 1023102886
  Medicare reassignment NPD Authorized official
• Brooke Harper, DNP, FNP-BC

  • Nurse Practitioner
  • Stuart, FL
  • NPI 1073270237
  NPD (past)
• Cynthia Jenkins Rogers, M.D.

  • Dermatology Physician
  • Stuart, FL
  • NPI 1205885506
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1437284080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 SOUTH KANNER HIGHWAY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-286-0677",
            "fax_number": "772-286-6720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 SOUTH KANNER HIGHWAY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "34994",
            "telephone_number": "772-286-0677",
            "fax_number": "772-286-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL T HOLLEY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-286-0677",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "FL",
            "license": "ME73391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "41373",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "240006528",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "720838",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005673558",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tessa Dalton, BCABA
• Patricia Franchette Dameus
• Dan G. Jacobson, MD, PA
• Daniel & Max (Stanton Optical)
• Daniel J Velinsky, D.M.D.
• Jerome Edward Daniel, DO
• Melake Daniel
• Carly Maureen Daniels
• Elyssabeth H Daniels
• James Daniels

• Plastic Surgery Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.