Active NPI
Marchelle K Holfeldt MD PA
- Nephrology Physician
- Sebastian, FL
National Provider Identifier
1194047647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME82565
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME82565 | Other | FL | MEDICAL LICENSE |
National Provider Directory
National Provider DirectoryNPI 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.