DOUGLAS STANLEY HOLSCLAW MD NPI 1629037437

NPI Information

NPI: 1629037437
Provider Name: DOUGLAS STANLEY HOLSCLAW, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
42 LLANBERRIS RD
BALA CYNWYD, PA
ZIP 19004
Phone: (610) 664-3712
Get Directions

Douglas Stanley Holsclaw, MD is a pulmonary disease internal medicine in Bala Cynwyd, PA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Douglas Stanley Holsclaw, MD NPI is 1629037437. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

42 LLANBERRIS RD
BALA CYNWYD, PA
ZIP 19004-403
Phone: (610) 664-3712

The NPI 1629037437 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 9/18/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0214X	Pediatrics	Pediatric Pulmonology	MD012316E	PENNSYLVANIA	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	MD012316E	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0006732510013	MEDICAID	PENNSYLVANIA
2	99759	MEDICARE PIN	PENNSYLVANIA
3	099759	OTHER	PENNSYLVANIA	BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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