Organization Active NPI

Karl W. Holtzer, MD

  • Clinic/Center
  • Newberry, SC
National Provider Identifier
1962518787
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KARL W. HOLTZER, MD
Practice address
145 Executive Dr
Newberry, SC 29108-2952
Phone
(803) 405-0220
Fax
(803) 405-0222
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Karl W. Holtzer, M.D.NPI 1417942780
Title
Owner
Phone
(803) 405-0220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

145 Executive Dr
Newberry, SC 29108-2952

Mailing address

145 Executive Dr
Newberry, SC 29108-2952
Phone (803) 405-0220

Other names 1

  • Pediatrics of Newberry, LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Karl W Holtzer MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962518787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 EXECUTIVE DR",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082952",
            "telephone_number": "803-405-0220",
            "fax_number": "803-405-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 EXECUTIVE DR",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082952",
            "telephone_number": "803-405-0220",
            "fax_number": "803-405-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARL W. HOLTZER, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLTZER",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-405-0220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatrics of Newberry, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newberry, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.