Active NPI
William Walter Holland, M.D.
- Family Medicine Physician
- Phoenix, AZ
National Provider Identifier
1831192590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 31528
- Practice address
- 1300 N 12TH St
Suite 605
Phoenix, AZ 85006-2848 - Phone
- (602) 239-4567
- NPI assigned
- May 24, 2005
- Reactivated
- Mar 27, 2006
- Last updated
- Oct 18, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 31528 | AZ | Primary |
Addresses
Primary practice location
1300 N 12TH St
Suite 605
Phoenix, AZ 85006-2848
Mailing address
1300 N 12TH St
Suite 605
Phoenix, AZ 85006-2848
Phone (602) 239-4567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31528 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner -- University Primary Care Physicians LLC | Current | Accepting new patients | |
| Glendale Urgent Care LLC | Past | Accepting new patients | |
| Shea Urgent Care LLC | Past | Accepting new patients | |
| Avondale Urgent Care LLC | Past | Accepting new patients | |
| Pinnacle Medicine Inc. | Past | Accepting new patients | |
| Greenway Urgent Care LLC | Past | Accepting new patients | |
| Arizona Heart Specialists PLLC | Past | Accepting new patients | |
| Chandler Urgent Care LLC | Past | Accepting new patients |
Locations
1300 N 12th St
Ste 500
Phoenix, AZ 85006
Phone (602) 839-2606
1300 N 12th St
Ste 605
Phoenix, AZ 85006
Phone (602) 239-4567
1300 N 12th St
Ste 605608
Phoenix, AZ 85006
Phone (602) 839-4567
1300 N 12th St
Ste 608
Phoenix, AZ 85006
Phone (602) 254-5321
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1750513438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287360000000",
"number": "1831192590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 N 12TH ST",
"address_2": "SUITE 605",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062848",
"telephone_number": "602-239-4567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N 12TH ST",
"address_2": "SUITE 605",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062848",
"telephone_number": "602-239-4567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "WILLIAM",
"middle_name": "WALTER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2010-10-18",
"deactivation_date": "2006-03-17",
"reactivation_date": "2006-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "31528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.