Active NPI
Julie Holesh, P.A.
- Physician Assistant
- Philadelphia, PA
National Provider Identifier
1104371780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA058314
- Practice address
- 700 Cottman Ave
Suite 201
Philadelphia, PA 19111-3062 - Phone
- (215) 742-9900
- Fax
- (215) 742-7051
- NPI assigned
- Aug 24, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA058314 | PA | Primary |
Addresses
Primary practice location
700 Cottman Ave
Suite 201
Philadelphia, PA 19111-3062
Mailing address
700 Cottman Ave
Suite 201
Philadelphia, PA 19111-3062
Phone (215) 742-9900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA058314 | PA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471996800000",
"number": "1104371780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 COTTMAN AVE",
"address_2": "SUITE 201",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191113062",
"telephone_number": "215-742-9900",
"fax_number": "215-742-7051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 COTTMAN AVE",
"address_2": "SUITE 201",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191113062",
"telephone_number": "215-742-9900",
"fax_number": "215-742-7051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLESH",
"first_name": "JULIE",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-24",
"last_updated": "2016-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA058314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.