Robert P Holfelder, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9107588 Issued in FL

Practice address

7227 N Highway 1
Suite 100
Port St John, FL 32927-5020

Phone

(321) 637-1595

Fax

(321) 637-1596

NPI assigned

Jun 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Merritt-Titus PA

  • Family Medicine Physician
  • Titusville, FL
  • NPI 1619927464
  NPD
• Atlantic Physician Services of Maryland, PC

  • Physician Assistant
  • Baltimore, MD
  • NPI 1174632376
  NPD (past)
• Roosevelt Emergency Physicians

  • Emergency Medicine Physician
  • Philadelphia, PA
  • NPI 1043263726
  NPD (past)
• Southern Chester County Emergency Room Associates PC

  • Emergency Medicine Physician
  • West Grove, PA
  • NPI 1336192053
  NPD (past)

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477595148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-434-1981",
            "fax_number": "321-951-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7227 N HIGHWAY 1",
            "address_2": "SUITE 100",
            "city": "PORT ST JOHN",
            "state": "FL",
            "postal_code": "329275020",
            "telephone_number": "321-637-1595",
            "fax_number": "321-637-1596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1855 Knox McRae Dr",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "327805492",
            "country_code": "US",
            "telephone_number": "321-269-2028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLFELDER",
        "first_name": "ROBERT",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9107588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl E. Glemser, R.PH.
• Eugene H Go, M.D.
• Steven H Greenberg, D.C.
• Hars Drugs Inc
• Rosanne Marie Henry, M.D.
• Steven Lance Holmes, M.D.
• Guilaine Jean-Gilles, FNP-BC
• Nagamani Kurusanganapalli, M.D
• Katherine Penny Leonard, ARNP
• Eric Luzar, PHARMD

• All providers in Port St John, FL
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.