Individual provider Active NPI

Peter Joseph Holdaway, DPM

  • Podiatrist
  • Chambersburg, PA
National Provider Identifier
1912988833
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC003622L Issued in PA
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

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0012553MedicaidPA
103136097MedicaidPA
80007MedicaidPA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050719000575 MD Practitioner - Podiatry 0143257469 Practice locations: Hagerstown, MD

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD01269MDMDPodiatrist
SC003622LPAMDPodiatrist
01269MDMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.