Individual provider Active NPI

Maria E Holcomb, D.O.

  • Psychiatry Physician
  • Tampa, FL
National Provider Identifier
1023167608
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS4970 Issued in FL
Practice address
6601 Memorial Hwy
Suite 320
Tampa, FL 33615-4501
Phone
(813) 313-7535
Fax
(813) 243-2343
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OS4970 FL Primary

Addresses

Primary practice location

6601 Memorial Hwy
Suite 320
Tampa, FL 33615-4501

Mailing address

6601 Memorial Hwy
Suite 320
Tampa, FL 33615-4501
Phone (813) 313-7535

Other identifiers 1

IdentifierTypeStateIssuer
256096800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100914000166 FL Practitioner - PsychiatryPractitioner - Pulmonary Disease 4587789615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6601 Memorial Hwy
Suite 108
Tampa, FL 33615-4501
Phone (813) 313-7535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS4970FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maria E. Holcomb, D.O., LLC Psychiatry CurrentSince Mar 18, 2014 Accepting new patients

Locations

6601 Memorial Hwy
Ste 108
Tampa, FL 33615
Phone (813) 313-7535

6601 Memorial Hwy
Ste 320
Tampa, FL 33615
Phone (813) 313-7535

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392768000000",
    "number": "1023167608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 MEMORIAL HWY",
            "address_2": "SUITE 320",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154501",
            "telephone_number": "813-313-7535",
            "fax_number": "813-243-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 MEMORIAL HWY",
            "address_2": "SUITE 320",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336154501",
            "telephone_number": "813-313-7535",
            "fax_number": "813-243-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "MARIA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2014-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS4970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256096800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.