Organization Active NPI

David B. Van Holla, M.D., PC

  • Psychiatry Physician
  • Norway, MI
National Provider Identifier
1619066404
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301074540 Issued in MI
Legal business name
DAVID B. VAN HOLLA, M.D., PC
Practice address
640 Main St
Norway, MI 49870-1246
Phone
(906) 779-7001
Fax
(906) 779-7006
NPI assigned
Oct 12, 2006
Last updated
Jun 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Authorized official

Name
David Brian Van Holla, M.D.NPI 1699754457
Title
Owner
Phone
(906) 779-7001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 4301074540 MI Primary

Addresses

Primary practice location

640 Main St
Norway, MI 49870-1246

Mailing address

640 Main St
Norway, MI 49870-1246
Phone (906) 779-7001

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1619066404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 MAIN ST",
            "city": "NORWAY",
            "state": "MI",
            "postal_code": "498701246",
            "telephone_number": "906-779-7001",
            "fax_number": "906-779-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 MAIN ST",
            "city": "NORWAY",
            "state": "MI",
            "postal_code": "498701246",
            "telephone_number": "906-779-7001",
            "fax_number": "906-779-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID B. VAN HOLLA, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "VAN HOLLA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-779-7001",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301074540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norway, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.