Active NPI
Daniel N Holland, MD
- Emergency Medicine Physician
- Fort Walton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD28697
- Practice address
- 1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708 - Phone
- (850) 863-7607
- Fax
- (205) 437-5998
- NPI assigned
- May 4, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME44719 | FL | |
| Emergency Medicine Physician | 207P00000X | MD28697 | ME | Primary |
Addresses
Primary practice location
1000 Mar Walt Dr
Fort Walton Beach, FL 32547-6708
Mailing address
PO Box 88452
Chicago, IL 60680-1452
Phone (205) 437-6098
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17635 | Other | FL | BCBS PROVIDER NUMBER |
| 059187650 | Other | AL | BCBS PROVIDER NUMBER |
| 040447100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL, TX, ME, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Mississippi School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
239 Bowling Green Rd
Lexington, MS 39095-5167
Phone (662) 834-1321
Hospital & facility affiliations
- Magee General Hospital
- University of Mississippi Medical Center- Grenada
- Langlade Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD28697 | ME | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Relias Emergency Medicine Specialists of Hattiesburg LLC | Emergency Medicine | Current | Accepting new patients |
| Correct Care, Inc. | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of Maine, LLC | Emergency Medicine | Current | Accepting new patients |
| Gadsden HB Medical Services LLC | Emergency Medicine | Current | Accepting new patients |
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Lawton Indian Hospital | Current | Accepting new patients | |
| Magee Benevolent Association | Current | Accepting new patients | |
| Emergency Services of Montgomery PC | Emergency Medicine | Current | Accepting new patients |
| Magee Benevolent Association | Current | Accepting new patients | |
| Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin | Current | Accepting new patients | |
| Grenada Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| 4MD2 Physician Services of Fort Walton Beach LLC | Emergency Medicine | Past | Accepting new patients |
Locations
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000
2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842
400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287
124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
29980 Network Pl
Chicago, IL 60673
229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225
50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304
447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981
1970 Hospital Dr
Clarksdale, MS 38614
Phone (662) 624-3185
960 Avent Dr
Grenada, MS 38901
Phone (662) 227-7000
6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690
239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321
300 SE 3rd Ave
Magee, MS 39111
Phone (601) 849-5070
130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400
409 Tyler Holmes Dr
Winona, MS 38967
Phone (662) 283-3060
307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300
1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350
112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331
Interoperability endpoints
- dholland224534@ummc.direct-ci.com
Organizations & group practices 14
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.
-
- Emergency Medicine Physician
- Grenada, MS
- NPI 1194388082
-
- Emergency Medicine Physician
- Ellsworth, ME
- NPI 1578032058
-
- Emergency Medicine Physician
- Prattville, AL
- NPI 1528310323
-
- Emergency Medicine Physician
- Gadsden, AL
- NPI 1750061610
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1225071459
-
- Emergency Medicine Physician
- Hattiesburg, MS
- NPI 1609409440
-
- Critical Access Hospital
- Antigo, WI
- NPI 1639187412
-
- Family Nurse Practitioner
- Raleigh, MS
- NPI 1225157258
-
- Rural Health Clinic/Center
- Elcho, WI
- NPI 1831251040
-
- General Acute Care Hospital
- Magee, MS
- NPI 1396865754
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Health Clinic/Center
- Antigo, WI
- NPI 1821151366
Hospital
-
- Critical Access Hospital
- Antigo, WI
- NPI 1639187412
-
- General Acute Care Hospital
- Magee, MS
- NPI 1679553994
-
- Psychiatric Hospital
- Grenada, MS
- NPI 1083041917
-
- General Acute Care Hospital
- Grenada, MS
- NPI 1558798603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1982652871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 88452",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606801452",
"telephone_number": "205-437-6098",
"fax_number": "205-437-5998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 MAR WALT DR",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325476708",
"telephone_number": "850-863-7607",
"fax_number": "205-437-5998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "DANIEL",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME44719",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ME",
"license": "MD28697",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "17635",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "059187650",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "040447100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.