Active NPI
Edward Warren Holifield, M.D.
- Cardiovascular Disease Physician
- Tallahassee, FL
National Provider Identifier
1124236237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 38045
- Practice address
- 4032 Longleaf CT
Tallahassee, FL 32310-6424 - Phone
- (850) 574-2792
- Fax
- (850) 574-2790
- NPI assigned
- May 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 38045 | FL | Primary |
Addresses
Primary practice location
4032 Longleaf CT
Tallahassee, FL 32310-6424
Mailing address
PO Box 6491
Tallahassee, FL 32314-6491
Phone (850) 574-2792
Other names 1
- Dr. Edward Warren Holifield
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38045 | FL | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124236237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6491",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323146491",
"telephone_number": "850-574-2792",
"fax_number": "850-574-2790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4032 LONGLEAF CT",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323106424",
"telephone_number": "850-574-2792",
"fax_number": "850-574-2790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLIFIELD",
"first_name": "EDWARD",
"middle_name": "WARREN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "38045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EDWARD",
"last_name": "HOLIFIELD",
"middle_name": "WARREN",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.