Active NPI
Daniel Holloway MD PC
- Surgery Physician
- Pontiac, MI
National Provider Identifier
1457677932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301047942
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811290 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Surgery Physician
- Southfield, MI
- NPI 1568422566
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.