Active NPI
Peter Joseph Holdaway, DPM
- Podiatrist
- Chambersburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC003622L
- Practice address
- 1920 Scotland Ave
Chambersburg, PA 17201-1450 - Phone
- (717) 264-5211
- Fax
- (717) 264-5418
- NPI assigned
- Nov 8, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | MD01269 | MD | |
| Podiatrist | 213E00000X | SC003622L | PA | Primary |
Addresses
Primary practice location
1920 Scotland Ave
Chambersburg, PA 17201-1450
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 264-5211
Other practice location 1
24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 264-5211
Other practice location 2
601 E Main St Fl 3
Waynesboro, PA 17268-2332
Phone (717) 264-5211
Other practice location 3
2075 Scotland Ave
Chambersburg, PA 17201-1451
Phone (717) 264-5211
Other practice location 4
1425 Philadelphia Ave
Chambersburg, PA 17201-1386
Phone (717) 264-5211
Other practice location 5
8131 Spyglass Hill Dr
Fayetteville, PA 17222-5500
Phone (717) 264-5211
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012553 | Medicaid | PA | |
| 103136097 | Medicaid | PA | |
| 80007 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050719000575 | MD | Practitioner - Podiatry | 0143257469 | Practice locations: Hagerstown, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD01269 | MD | MD | Podiatrist |
| SC003622L | PA | MD | Podiatrist |
| 01269 | MD | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1912988833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MEMORY LN",
"city": "YORK",
"state": "PA",
"postal_code": "174022231",
"telephone_number": "717-264-5211",
"fax_number": "717-264-5418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 SCOTLAND AVE",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172011450",
"telephone_number": "717-264-5211",
"fax_number": "717-264-5418"
}
],
"practiceLocations": [
{
"address_1": "24 Antrim Commons Dr",
"address_purpose": "LOCATION",
"city": "Greencastle",
"state": "PA",
"postal_code": "172251623",
"country_code": "US",
"telephone_number": "717-264-5211",
"fax_number": "717-264-5418",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 E Main St Fl 3",
"address_purpose": "LOCATION",
"city": "Waynesboro",
"state": "PA",
"postal_code": "172682332",
"country_code": "US",
"telephone_number": "717-264-5211",
"fax_number": "717-765-3678",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2075 Scotland Ave",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172011451",
"country_code": "US",
"telephone_number": "717-264-5211",
"fax_number": "717-264-5418",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1425 Philadelphia Ave",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172011386",
"country_code": "US",
"telephone_number": "717-264-5211",
"fax_number": "717-264-5418",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8131 Spyglass Hill Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "PA",
"postal_code": "172225500",
"country_code": "US",
"telephone_number": "717-264-5211",
"fax_number": "717-264-5418",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLDAWAY",
"first_name": "PETER",
"middle_name": "JOSEPH",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-08",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MD",
"license": "MD01269",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC003622L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012553",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103136097",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80007",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chambersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.