Individual provider Active NPI

Joshua D Holland, MD

  • Family Medicine Physician
  • Peoria, AZ
National Provider Identifier
1922071232
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17551 Issued in AZ
Practice address
15396 N 83Rd Ave
Ste F101
Peoria, AZ 85381
Phone
(602) 978-8477
Fax
(602) 978-0734
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17551 AZ Primary

Addresses

Primary practice location

15396 N 83Rd Ave
Ste F101
Peoria, AZ 85381

Mailing address

15396 N 83Rd Ave
Ste F101
Peoria, AZ 85381
Phone (602) 978-8477

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080401000828 AZ Practitioner - Family PracticePractitioner - Internal Medicine 6507861564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
University of Southern California Keck School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Az Wound Solutions, PLLCGroup PAC ID 5991192874, 3 clinicians

Practice addresses (Care Compare)

15396 N 83Rd Ave
Suite F101
Peoria, AZ 85381-5629
Phone (602) 978-8477

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17551AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Az Wound Solutions, PLLC CurrentSince Mar 22, 2021 Accepting new patients
Valley Primary Care Physicians, LLC Family Medicine Past Accepting new patients
Msmancina Associates Arizona, PLLC Past Accepting new patients

Locations

5145 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 978-5600

15396 N 83rd Ave
Ste F101
Peoria, AZ 85381
Phone (602) 978-5000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1922071232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15396 N 83RD AVE",
            "address_2": "STE F101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "602-978-8477",
            "fax_number": "602-978-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15396 N 83RD AVE",
            "address_2": "STE F101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85381",
            "telephone_number": "602-978-8477",
            "fax_number": "602-978-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "JOSHUA",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2023-09-27",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "17551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.