Individual provider Active NPI

Michael Holland, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bay City, MI
National Provider Identifier
1881617686
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
MH400209 Issued in MI
Practice address
3601 Wilder Rd
Bay City, MI 48706-2113
Phone
(989) 667-3668
Fax
(989) 667-3670
NPI assigned
Jul 25, 2006
Last updated
Nov 1, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X MH400209 MI Primary

Addresses

Primary practice location

3601 Wilder Rd
Bay City, MI 48706-2113

Mailing address

3601 Wilder Rd
Bay City, MI 48706-2113
Phone (989) 667-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251210000720 FL Practitioner - Podiatry 4880683150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Port Podiatry Center PAGroup PAC ID 1052374543, 3 clinicians

Practice addresses (Care Compare)

14580 Tamiami TRL
Unit H
North Port, FL 34287-2708
Phone (941) 429-1702

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue14
Removal of skin lesions1-10
Removal of nail tissue47
Removal or shaving of skin growth25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MH400209MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Port Podiatry Center PA Foot & Ankle Surgery CurrentSince Dec 1, 2025 Accepting new patients
North Port Podiatry Center PA Foot & Ankle Surgery PastSince Dec 1, 2025 Accepting new patients

Locations

14580 Tamiami Trl
Unit H
North Port, FL 34287
Phone (941) 429-1702

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1881617686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 WILDER RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062113",
            "telephone_number": "989-667-3668",
            "fax_number": "989-667-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 WILDER RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062113",
            "telephone_number": "989-667-3668",
            "fax_number": "989-667-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "MICHAEL",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "MH400209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.