Individual provider Active NPI

Michele Y Holding, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Phoenixville, PA
National Provider Identifier
1407874647
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
MD051973L Issued in PA
Practice address
100 1St Ave
Phoenixville, PA 19460
Phone
(610) 495-8416
Fax
(866) 427-9472
NPI assigned
Jul 17, 2006
Reactivated
Jun 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X MD051973L PA Primary

Addresses

Primary practice location

100 1St Ave
Phoenixville, PA 19460

Mailing address

PO Box 222
The Back Pain Center PC
Spring City, PA 19475
Phone (610) 495-8416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041206000088 PA Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 5395701130 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Hahnemann University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Porter Rd
Suite 106
Pottstown, PA 19464-3240
Phone (610) 495-8416

PO Box
Suite 222
Spring City, PA 19475-0222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD051973LPAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Back Pain Center PC Pain Medicine CurrentSince Nov 1, 2003 Accepting new patients

Locations

100 1st Ave
Phoenixville, PA 19460
Phone (610) 495-8416

100 Porter Rd
Ste 106
Pottstown, PA 19464
Phone (610) 495-8416

Interoperability endpoints

  • Direct secure messaging: michele.holding.1@18890.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228348800000",
    "number": "1407874647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 222",
            "address_2": "THE BACK PAIN CENTER PC",
            "city": "SPRING CITY",
            "state": "PA",
            "postal_code": "19475",
            "telephone_number": "610-495-8416",
            "fax_number": "866-427-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 1ST AVE",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "19460",
            "telephone_number": "610-495-8416",
            "fax_number": "866-427-9472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDING",
        "first_name": "MICHELE",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-12-04",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "MD051973L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

Verify at the official NPI Registry.