Active NPI
Edsel P Holden II, MD
- Pulmonary Disease Physician
- Florence, AL
National Provider Identifier
1013015254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 19035
- Practice address
- 3905 Peach St
Florence, AL 35630-2803 - Phone
- (256) 767-5864
- Fax
- (256) 263-4512
- NPI assigned
- Sep 20, 2006
- Last updated
- Nov 10, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 19035 | AL | |
| Pulmonary Disease Physician | 207RP1001X | 19035 | AL | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 19035 | AL |
Addresses
Primary practice location
3905 Peach St
Florence, AL 35630-2803
Mailing address
3905 Peach St
Florence, AL 35630-2803
Phone (256) 767-5864
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051507070 | Medicaid | AL | |
| P00076769 | Other | AL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of South Alabama College of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3905 Peach St
Florence, AL 35630-2803
Phone (256) 767-5864
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.89 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 80.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19035 | AL | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Lung Center, PC | Critical Care Medicine | Current | Accepting new patients |
Locations
3905 Peach St
Florence, AL 35630
Phone (256) 767-5864
541 W College St
Ste 2200
Florence, AL 35630
Phone (256) 767-5864
Networks
- AL HMO D-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- FL HMO D-SNP
- TN PPO C-SNP
- AL HMO
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- FL PPO
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- TN PPO
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Helen Keller Hospital
- General Acute Care Hospital
- Sheffield, AL
- NPI 1508952235
-
dba North Alabama Medical Center
- General Acute Care Hospital
- Florence, AL
- NPI 1477874337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699574400000",
"number": "1013015254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3905 PEACH ST",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356302803",
"telephone_number": "256-767-5864",
"fax_number": "256-263-4512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3905 PEACH ST",
"city": "FLORENCE",
"state": "AL",
"postal_code": "356302803",
"telephone_number": "256-767-5864",
"fax_number": "256-263-4512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDEN",
"first_name": "EDSEL",
"middle_name": "P",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "AL",
"license": "19035",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "AL",
"license": "19035",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "AL",
"license": "19035",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051507070",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00076769",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Florence, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.