ELIZABETH KOONTZ HOLLAND PAC
NPI 1750366886
Physician Assistant - Medical in Winston Salem, NC
NPI Status: Active since December 13, 2005
Contact Information
MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157
Phone: (336) 716-2255
Fax: (336) 713-5424
- Individual
- Female
- Physician Assistant
- Medical
About ELIZABETH HOLLAND
This page provides the complete NPI Profile along with additional information for Elizabeth Holland, a primary care provider established in Winston Salem, North Carolina with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1750366886 assigned on December 2005. The practitioner's primary taxonomy code is 363AM0700X with license number 000101509 (NC). The provider is registered as an individual and her NPI record was last updated 13 years ago.
- NPI
- 1750366886
- Provider Name
- ELIZABETH KOONTZ HOLLAND PAC
- Other Name
- MARY KOONTZ
- Other Name Type
- Other Name (5)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- MEDICAL CENTER BLVD WINSTON SALEM, NC 27157
- Location Phone
- (336) 716-2255
- Location Fax
- (336) 713-5424
- Mailing Address
- PO BOX 602658 CHARLOTTE, NC 28260
- Mailing Phone
- (336) 716-2255
- Mailing Fax
- (336) 713-5424
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-13-2005
- Last Update Date
- 06-13-2012
- Code Navigator
A primary care provider (PCP) like Elizabeth Holland sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 000101509
- License State
- NC
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| S92561 | MEDICARE UPIN (02) | ||
| 94676 | OTHER (01) | NC | MEDCOST |
| 7338641 | OTHER (01) | AETNA | |
| 970025335 | MEDICARE PIN (08) | ||
| 2755188 | MEDICARE PIN (08) | NC |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 3 | 6 | 6 | 8 | 8 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 6 | 6 | 12 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 6 + 6 + 1 + 2 + 8 + 1 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1750366886 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1811990815 | MR. GARY LEE RAY MSN, CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 713-2555 |
| 1548264310 | PETER A VALEN MD Individual | Internal Medicine (Rheumatology) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1053393306 | MR. JAMES BOYD THOMAS CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-6719 |
| 1962484212 | MARTHA SCHELL SOOTS CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-3069 |
| 1659352961 | MS. LINDA MARIE SANGIULIANO CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-6701 |
| 1376524686 | KAREN M HARP CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-6719 |
| 1962483297 | MRS. ALISA LAWSON STARBUCK RN NNP Individual | Nurse Practitioner (Neonatal) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 713-6498 |
| 1477535599 | RICHARD HENRY DEAN MD Individual | Surgery (Vascular Surgery) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1366424483 | CHERYL B KIRKPATRICK CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-6719 |
| 1386626349 | CAROLYN RUTH FERREE MD Individual | Radiology (Radiation Oncology) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1538141585 | EDWARD GUS SHAW MD Individual | Radiology (Radiation Oncology) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1447232400 | MARK CAUTHEN WILLINGHAM MD Individual | Pathology (Anatomic Pathology) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1528040581 | BART ALAN FRIZZELL MD Individual | Radiology (Radiation Oncology) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1396727996 | RAMON VELEZ MD Individual | Internal Medicine | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1154303519 | PETER RIBACK LICHSTEIN MD Individual | Internal Medicine | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1538141999 | DAVID PHILIP MILLER JR. MD Individual | Internal Medicine | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1497737894 | MRS. DONNA LEA MYERS CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 713-2540 |
| 1114900354 | MRS. GWENDOLYN DALY ROARKE CRNA Individual | Nurse Anesthetist, Certified Registered | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-3069 |
| 1346223484 | RODOLFO M PASCUAL MD Individual | Internal Medicine (Pulmonary Disease) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
| 1376526400 | JILL M OHAR MD Individual | Internal Medicine (Pulmonary Disease) | MEDICAL CENTER BLVD WINSTON SALEM, NC 27157 (336) 716-2255 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750366886, enumerated in the NPI registry as an "individual" on December 13, 2005
The provider is located at Medical Center Blvd Winston Salem, Nc 27157 and the phone number is (336) 716-2255
The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical
The provider might be accepting Accepts: Medicare, Medicaid and Aetna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on December 13, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.