LISA VINCENT HOLTZ MD
NPI 1235339441
Pediatrics - Pediatric Critical Care Medicine in Scranton, PA

Q: What is Lisa Holtz's NPI number?

The NPI number for Lisa Holtz is 1235339441. It was assigned to this individual provider in the NPPES registry on July 25, 2007.

Q: What is Lisa Holtz's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Holtz was last updated on July 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 25, 2007PECOS Enrolled

1800 MULBERRY ST, SCRANTON, PA 18510(570) 703-8000(570) 703-8559 Get Directions Write a Review

NPPES record last updated: July 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lisa Vincent Holtz Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA VINCENT HOLTZ MD (NPI 1235339441) is an individual pediatric critical care medicine provider in Scranton, Pennsylvania, licensed in Pennsylvania (MD437444) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235339441

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameLISA VINCENT HOLTZCredential: MD

Location Address1800 MULBERRY STScranton, PA 18510-2369

Mailing Address100 N Academy AveDanville, PA 17822-4093 · (570) 271-6144 · Fax (570) 271-6578

Phone(570) 703-8000

Fax(570) 703-8559

Sole ProprietorNo

Enumeration DateJuly 25, 2007

Last NPPES UpdateJuly 15, 2020

NPPES CertifiedJuly 15, 2020

✔ NPI 1235339441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in PA · MD437444

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

1800 MULBERRY ST, Scranton, PA 18510

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Vincent Holtz Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAJAGOPALAN RENGAN D.O

Internal Medicine (Pulmonary Disease)