Organization Active NPI

William T. Holland MD PC

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1932269008
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10652 Issued in AZ
Legal business name
WILLIAM T. HOLLAND MD PC
Practice address
4616 N 51St Ave
Ste 203B
Phoenix, AZ 85031-1716
Phone
(623) 846-5407
Fax
(623) 845-0890
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Dr. William T. Holland, M.D.
Title
Owner
Phone
(623) 846-5407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 10652 AZ Primary

Addresses

Primary practice location

4616 N 51St Ave
Ste 203B
Phoenix, AZ 85031-1716

Mailing address

4616 N 51St Ave
Ste 203B
Phoenix, AZ 85031-1716
Phone (623) 846-5407

Other identifiers 2

IdentifierTypeStateIssuer
DA7053OtherAZRAILROAD MEDICARE GROUP NUMBER
335573MedicaidAZ

National Provider Directory

National Provider Directory

Locations

4616 N 51st Ave
Ste 203B
Phoenix, AZ 85031
Phone (623) 846-5407

4550 N 51st Ave
Ste 19
Phoenix, AZ 85031
Phone (623) 846-5407

4550 N 51st Ave
#45
Phoenix, AZ 85031
Phone (623) 846-5407

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1932269008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4616 N 51ST AVE",
            "address_2": "STE 203B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311716",
            "telephone_number": "623-846-5407",
            "fax_number": "623-845-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4616 N 51ST AVE",
            "address_2": "STE 203B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850311716",
            "telephone_number": "623-846-5407",
            "fax_number": "623-845-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM T. HOLLAND MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-846-5407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "10652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP NUMBER",
            "identifier": "DA7053",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335573",
            "state": "AZ"
        }
    ],
    "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 Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.