Organization Active NPI

Marchelle K Holfeldt MD PA

  • Nephrology Physician
  • Sebastian, FL
National Provider Identifier
1194047647
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME82565 Issued in FL
Legal business name
MARCHELLE K HOLFELDT MD PA
Practice address
7770 Bay Street
Suite 13
Sebastian, FL 32958
Phone
(772) 581-2750
Fax
(772) 581-8362
NPI assigned
Feb 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Authorized official

Name
Dr. Marchelle K Holfedlt, MD
Title
President
Phone
(772) 581-2750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X ME82565 FL Primary

Addresses

Primary practice location

7770 Bay Street
Suite 13
Sebastian, FL 32958

Mailing address

1110 Bounty Boulevard
Vero Beach, FL 32963
Phone (772) 581-2750

Other identifiers 1

IdentifierTypeStateIssuer
ME82565OtherFLMEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1194047647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 BOUNTY BOULEVARD",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "32963",
            "telephone_number": "772-581-2750",
            "fax_number": "772-581-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7770 BAY STREET",
            "address_2": "SUITE 13",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "32958",
            "telephone_number": "772-581-2750",
            "fax_number": "772-581-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCHELLE K HOLFELDT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "HOLFEDLT",
        "authorized_official_first_name": "MARCHELLE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-581-2750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME82565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME82565",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastian, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.