Organization Active NPI

Daniel Holloway MD PC

  • Surgery Physician
  • Pontiac, MI
National Provider Identifier
1457677932
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301047942 Issued in MI
Legal business name
DANIEL HOLLOWAY MD PC
Practice address
91 N Saginaw St
Suite 101
Pontiac, MI 48342-2165
Phone
(248) 333-7891
Fax
(248) 333-0121
NPI assigned
Apr 9, 2010
Last updated
May 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Authorized official

Name
Dr. Daniel K Holloway, M.D.
Title
President
Phone
(248) 333-7891

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 4301047942 MI
Surgery Physician 208600000X 4301047942 MI Primary

Addresses

Primary practice location

91 N Saginaw St
Suite 101
Pontiac, MI 48342-2165

Mailing address

PO Box 432021
Pontiac, MI 48343-2021
Phone (248) 333-7891

Other identifiers 1

IdentifierTypeStateIssuer
1811290MedicaidMI

National Provider Directory

National Provider Directory

Locations

91 N Saginaw St
Ste 101
Pontiac, MI 48342
Phone (248) 333-7891

27209 Lahser Rd
Ste 224
Southfield, MI 48034
Phone (248) 423-0903

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1457677932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432021",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483432021",
            "telephone_number": "248-333-7891",
            "fax_number": "248-333-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 N SAGINAW ST",
            "address_2": "SUITE 101",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422165",
            "telephone_number": "248-333-7891",
            "fax_number": "248-333-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL HOLLOWAY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-333-7891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301047942",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301047942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811290",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.