DR. DAVID G HOLZWORTH (NPI# 1205828910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205828910 |
| Entity Type | Individual |
| Full Name | DR. DAVID G HOLZWORTH |
| Credential | D.O. |
| Practice Address |
14600 King Rd Suite D Riverview MI 48193-7952 |
| Practice Telephone | 7344797310 |
| Practice Fax Number | 7344797307 |
| Mailing Telephone | 7344797310 |
| Mailing Fax Number | 7344797307 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2008-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
5101006598 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BLUE CROSS MICHIGAN | 1758239605 | 01 |
| MI | MCARE | C5092 | 01 |
| MI | 1302187 | 05 | |
| MI | BLUE CARE NETWORK | P46665 | 01 |
| Street Address |
14600 KING RD SUITE D |
| City | RIVERVIEW |
| State | MI |
| Zip Code | 48193-7952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790781383 | Ehab Ragar Eid Morsi | Pediatrics | 14600 King Rd, Suite A, Riverview, MI 48193-7952 | 2005-06-28 |
| 1427423383 | Colleen Marie Bryant | Nurse Practitioner | 14600 King Rd, Riverview, MI 48134 | 2015-12-03 |
| 1619261690 | Achieve Counseling & Consulting Associates Plc | Social Worker | 14600 King Rd, Riverview, MI 48193-7952 | 2011-06-07 |
| 1396039749 | Krista Lauren Broullire Frick | Audiologist-Hearing Aid Fitter | 14600 King Rd, Suite D, Riverview, MI 48193-7952 | 2011-06-02 |
| 1326219270 | Simpson Holzworth | Specialist | 14600 King Rd, Suite D, Riverview, MI 48193-7952 | 2008-03-19 |
| 1588835433 | Gregory E Stephens Do PC | Specialist | 14600 King Rd, Suite D, Riverview, MI 48193-7952 | 2008-03-19 |
| 1487843611 | Richard P. Laskowski, D.o.,p.c. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 14600 King Rd, Riverview, MI 48193-7952 | 2007-10-24 |
| 1528112679 | Mini B Goddard M D P C | Physical Medicine & Rehabilitation | 14600 King Rd, Suite A, Riverview, MI 48193-7952 | 2007-01-23 |
| 1245333624 | Riverside Hearing Services | Audiologist | 14600 King Rd, Suite D, Riverview, MI 48193-7952 | 2006-09-07 |
| 1932202314 | Laurie Sue Nastas | Audiologist | 14600 King Rd, Suite D, Riverview, MI 48193-7952 | 2006-09-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093214173 | Sana Nasir Inc. | Skilled Nursing Facility | 13840 King Rd, Riverview, MI 48193 | 2018-02-05 |
| 1710348974 | Roberta Ryan | Licensed Practical Nurse | 19048 Stonewood, Riverview, MI 48193 | 2016-03-16 |
| 1083978126 | Waqar Ahmed Yazdani | Physical Therapist | 21708 Adams Dr, Brownstown, MI 48193 | 2012-07-03 |
| 1568745008 | Adrianne Rockin Co LLC | Registered Nurse | 17735 Fort St, Riverview, MI 48193 | 2011-09-21 |
| 1962504399 | Barbara Lynn Novak | Technician/Technologist | 19216 Fort Street, Riverview, MI 48193 | 2006-09-05 |
| 1750494282 | Cosmetic Dermatology and Vein Centers of Downriver PC | Dermatology | 17171 Fort St, Riverview, MI 48193 | 2006-08-17 |
| 1235106915 | Syed Muhammad Raza | Internal Medicine | 18025 Fort St, Riverview, MI 48193 | 2006-03-02 |
| 1083686380 | John A Santoro | Dentist | 14525 Sibley Rd, Riverview, MI 48193 | 2006-02-02 |
| 1649240177 | Asker Asmi | Internal Medicine | 18025 Fort Street, Riverview, MI 48193 | 2006-01-26 |
| 1720562051 | Sana Health Inc | Skilled Nursing Facility | 13840 King Rd, Riverview, MI 48193 | 2018-09-21 |
| Find all providers in zip 48193 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851390066 | Michael Andrew Freedman | Otolaryngology | 14600 King Rd Ste D, Riverview, MI 48193-7952 | 2005-07-19 |
| 1063077840 | Michael A Freedman D.o. P.C. | Otolaryngology | 14600 King Rd Ste D, Riverview, MI 48193-7952 | 2019-05-07 |
| 1962494526 | Gregory E Stephens | Otolaryngology | 14600 King Rd, Suite D, Riverview, MI 48193-7952 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851720312 | Prasad J Thottam | Otolaryngology | 7001 Ochard Lake Road, 320c, West Bloomfield, MI 48322-3607 | 2013-11-05 |
| 1932549375 | Alexander Peter Bill | Otolaryngology | 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 | 2013-06-30 |
| 1336362722 | Danny Kewson M.d. P.c | Otolaryngology | 2454 Monroe St Ste A, Dearborn, MI 48124 | 2007-04-11 |
| 1528145935 | Demello Medical Clinic | Otolaryngology | 39379 Garfield Rd, Cilnton Township, MI 48038 | 2006-11-01 |
| 1508979436 | Russell Wayne Craig | Otolaryngology | 17901 Hall Rd, Macomb Twp, MI 48044 | 2006-08-16 |
| 1942218177 | Paul E Lomeo | Otolaryngology | 268 W Seminole Rd, Muskegon, MI 49444-3733 | 2006-08-03 |
| 1891715991 | Phillips H Winter | Otolaryngology | 577 Michigan Avenue, Suite 101, Holland, MI 49423 | 2006-07-20 |
| 1336191139 | Robert Louis Borenitsch | Otolaryngology | 5200 State St, Saginaw, MI 48603-3713 | 2006-05-17 |
| 1124007539 | Ted H Schwartzenfeld | Otolaryngology | 27483 Dequindre Rd Ste 201, Madison Heights, MI 48071-5711 | 2006-01-13 |
| 1518961879 | Khaled M Shukairy | Otolaryngology | 1501 S Center Rd, Bldg B, Burton, MI 48509-1731 | 2005-06-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.