Active NPI
Gregory Scott Holzman, M.D.
- Family Medicine Physician
- East Lansing, MI
National Provider Identifier
1952504631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301088951
- Practice address
- 138 Service Rd Ste A142
East Lansing, MI 48824 - Phone
- (517) 353-3050
- Fax
- (517) 432-3742
- NPI assigned
- Jun 8, 2007
- Last updated
- Dec 8, 2009
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301088951 | MI | Primary |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 4301088951 | MI |
Addresses
Primary practice location
138 Service Rd Ste A142
East Lansing, MI 48824
Mailing address
B100 Clinical Ctr
Department of Family Medicine
East Lansing, MI 48824-1313
Phone (517) 884-0429
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5182541 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301088951 | MI | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Maine Medical Center | Past | Accepting new patients | |
| Central Maine Medical Center | Past | Accepting new patients |
Organizations & group practices 2
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.
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- Lewiston, ME
- NPI 1689653487
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dba CMMC Pharmacy
- Community/Retail Pharmacy
- Lewiston, ME
- NPI 1861433765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260230400000",
"number": "1952504631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "B100 CLINICAL CTR",
"address_2": "DEPARTMENT OF FAMILY MEDICINE",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488241313",
"telephone_number": "517-884-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 SERVICE RD STE A142",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "48824",
"telephone_number": "517-353-3050",
"fax_number": "517-432-3742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLZMAN",
"first_name": "GREGORY",
"middle_name": "SCOTT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-08",
"last_updated": "2009-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301088951",
"primary": true
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "MI",
"license": "4301088951",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5182541",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.