Active NPI
John David Holcomb, M.D.
- Facial Plastic Surgery Physician
- Sarasota, FL
National Provider Identifier
1124025267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- ME80017
- Practice address
- 1 S School Ave
Suite 800
Sarasota, FL 34237-6045 - Phone
- (941) 365-8679
- Fax
- (941) 365-8680
- NPI assigned
- Jul 5, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | ME80017 | FL | Primary |
Addresses
Primary practice location
1 S School Ave
Suite 800
Sarasota, FL 34237-6045
Mailing address
1 S School Ave Ste 800
Sarasota, FL 34237-6045
Phone (941) 365-8679
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME80017 | Other | FL | FLORIDA MEDICAL LICENSE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110411000629 | FL | Practitioner - Plastic and Reconstructive Surgery | 2466636733 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holcomb Kreithen Plastic Surgery & Medspa PLLC | Current | Accepting new patients |
Locations
1 S School Ave
Ste 800
Sarasota, FL 34237
Phone (941) 365-8679
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
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.
-
- Specialist
- Sarasota, FL
- NPI 1801211362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1124025267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 S SCHOOL AVE STE 800",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342376045",
"telephone_number": "941-365-8679",
"fax_number": "941-365-8680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 S SCHOOL AVE",
"address_2": "SUITE 800",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342376045",
"telephone_number": "941-365-8679",
"fax_number": "941-365-8680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLCOMB",
"first_name": "JOHN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "FL",
"license": "ME80017",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA MEDICAL LICENSE",
"identifier": "ME80017",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.