Provider Demographics
NPI:1245263722
Name:HOLZHAUER, MARKUS K (MD)
Entity type:Individual
Prefix:
First Name:MARKUS
Middle Name:K
Last Name:HOLZHAUER
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:55 SPINDRIFT DR
Mailing Address - Street 2:WINDSONG RADIOLOGY GROUP, P.C.
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7800
Mailing Address - Country:US
Mailing Address - Phone:716-631-2500
Mailing Address - Fax:716-631-1249
Practice Address - Street 1:55 SPINDRIFT DR
Practice Address - Street 2:WINDSONG RADIOLOGY GROUP, P.C.
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7800
Practice Address - Country:US
Practice Address - Phone:716-631-2500
Practice Address - Fax:716-631-1249
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2394032085B0100X, 2085N0700X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0412706OtherGHI
NY000530439001OtherBCBS OF WNY
NYRB9137OtherMEDICARE
NY081007000109OtherFIDELIS
NY02990114Medicaid
NY2115271OtherIHA
NY00028146402OtherUNIVERA
NY2115271OtherIHA