MR. GREGORY MICHAEL HOLTZMAN (NPI# 1811080112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811080112 |
| Entity Type | Individual |
| Full Name | MR. GREGORY MICHAEL HOLTZMAN |
| Credential | DC |
| Practice Address |
1402 Nw Ferris Ave Lawton OK 73507-5747 |
| Mailing Address |
6204 Nw Elm Ave Lawton OK 73505-4435 |
| Practice Telephone | 5802484212 |
| Practice Fax Number | 5802484214 |
| Mailing Telephone | 5805103212 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3742 | OK | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | PPO CCN | 5665360 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730107426 | Gregory William Holtzman | Physical Therapist | 4444 Forest Park Ave, Ste 1210, Saint Louis, MO 63108-2212 | 2006-07-18 |
| Street Address |
1402 NW FERRIS AVE |
| City | LAWTON |
| State | OK |
| Zip Code | 73507-5747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609800887 | Carl Thomas Lail | Chiropractor | 1402 Nw Ferris Ave, Lawton, OK 73507-5747 | 2006-07-11 |
| 1164506093 | Carl T. Lail, D.c., P.C. | Chiropractor | 1402 Nw Ferris Ave, Lawton, OK 73507-5747 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720619935 | Kori Wren Wiegmann | Registered Nurse | 1515 Nw Lawrie Tatum Road, Lawton, OK 73507 | 2020-01-28 |
| 1013424027 | Liane Jacobson | Registered Nurse | 1515 Laurie Tatum Road, Adult Care Clinic 2, Lawton, OK 73507 | 2017-12-29 |
| 1649727041 | Rachel Ayala | Dietitian, Registered | 2811 Nw Hilltop Dr, Lawton, OK 73507 | 2016-09-02 |
| 1811370471 | William S, Davies, M.d., Inc. | Psychiatric Residential Treatment Facility | 1302 N, W, Lake Ave, Lawton, OK 73507 | 2015-07-01 |
| 1538554894 | Ashlee A Haugen-lewis | Behavioral Analyst | 4121 W Gore, Lawton, OK 73507 | 2015-04-03 |
| 1003188970 | Jenny Rae Mohon | Registered Nurse | 1515 North East Lawrie Tatum Road, Usphs Lawton Indian Hospital, Lawton, OK 73507 | 2012-02-07 |
| 1558548578 | Dawn M Griffith | Registered Nurse | 1515 Lawrie Tatum Dr., Lawton, OK 73507 | 2008-01-22 |
| 1275605172 | Judy Weiss | Pharmacist | 524 Lawrie Tatum Rd, Lawton, OK 73507 | 2006-11-15 |
| 1790895894 | William Spalding Davies | Psychiatry & Neurology | 1302 Lake Ave, Lawton, OK 73507 | 2006-08-30 |
| 1275646374 | Phillip Lynn Aday | Dentist | 1116 Nw Arlington, Lawton, OK 73507 | 2006-08-16 |
| Find all providers in zip 73507 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992362172 | Casey Arron Conran | Chiropractor | 1818 W Gore Blvd Ste B, Lawton, OK 73501-3615 | 2019-05-23 |
| 1760952287 | Ashley Nicole Bredy | Chiropractor | 1919 W Gore Blvd Ste 4, Lawton, OK 73501-3669 | 2018-11-27 |
| 1346695491 | Lawton Chiropractic, Pllc | Chiropractor | 1818 W Gore Blvd, Lawton, OK 73501-3615 | 2016-04-26 |
| 1205068566 | Anthony Ferrara Chiropractic PC | Chiropractor | 60 Nw Sheridan Rd Ste 5, Lawton, OK 73505-6338 | 2009-08-19 |
| 1003018615 | Paul Hou, Dc, PC | Chiropractor | 733 Nw 67th Street, Lawton, OK 73505 | 2007-06-05 |
| 1144306564 | James Joseph Roggenbuck | Chiropractor | 1108 Sw B Ave, Lawton, OK 73501-4229 | 2006-10-27 |
| 1417054123 | Aaragon Chiropractic Inc | Chiropractor | 1201 W Gore Blvd, Suite A, Lawton, OK 73501 | 2006-09-17 |
| 1023126844 | John Webb Spencer | Chiropractor | 1301 W Gore Blvd, Suite 4, Lawton, OK 73501-3605 | 2006-08-29 |
| 1639186505 | Mary Patricia Cupit | Chiropractor | 5525 Nw Cache Rd, Suite 1, Lawton, OK 73505-3300 | 2006-08-02 |
| 1609800887 | Carl Thomas Lail | Chiropractor | 1402 Nw Ferris Ave, Lawton, OK 73507-5747 | 2006-07-11 |
| Find all providers in LAWTON | ||||
Please comment or provide details below to improve the information on MR. GREGORY MICHAEL HOLTZMAN.
| 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.