Individual provider Active NPI

Mary Elizabeth Holzer

  • Internal Medicine Physician
  • Covington, LA
National Provider Identifier
1437546116
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
312613 Issued in LA
Practice address
130 Lakeview Cir Apt 304
Covington, LA 70433-7512
Phone
(985) 892-6858
NPI assigned
Apr 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 312613 LA Primary

Addresses

Primary practice location

130 Lakeview Cir Apt 304
Covington, LA 70433-7512

Mailing address

7069 Louisville St
New Orleans, LA 70124-3425
Phone (504) 920-9225

Other identifiers 1

IdentifierTypeStateIssuer
2389904MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190917001102 LA Practitioner - Internal MedicinePractitioner - Family Practice 2466736749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Louisiana State University School of Medicine in New Orleans, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

130 Lakeview Cir
Covington, LA 70433-7512
Phone (985) 892-6858

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
Metairie Physician Services Inc. Internal Medicine Past Accepting new patients
Rapid Urgent Care, Inc. Past Accepting new patients

Locations

130 Lakeview Cir
Apt 304
Covington, LA 70433
Phone (985) 892-6858

130 Lakeview Cir
Covington, LA 70433
Phone (985) 892-6858

71192 Highway 21
#100
Covington, LA 70433
Phone (985) 871-6020

101 Judge Tanner Blvd
Ste 106
Covington, LA 70433
Phone (985) 867-2128

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

Organizations & group practices 3

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1437546116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7069 LOUISVILLE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701243425",
            "telephone_number": "504-920-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 LAKEVIEW CIR APT 304",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337512",
            "telephone_number": "985-892-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZER",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "312613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2389904",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.