Individual provider Active NPI

Amy Wharton Holland, MD, MA

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1508356353
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD474825 Issued in PA
Practice address
3737 Market St FL 9
Philadelphia, PA 19104-5545
Phone
(484) 431-8927
NPI assigned
May 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X PA
Family Medicine Physician 207Q00000X MD474825 PA Primary

Addresses

Primary practice location

3737 Market St FL 9
Philadelphia, PA 19104-5545

Mailing address

1558 E Berks St
Philadelphia, PA 19125-2802
Phone (484) 431-8927

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
I20210729000942 PA Practitioner - Family Practice 8022411958 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Health Services IncGroup PAC ID 0840242467, 21 clinicians

Practice addresses (Care Compare)

5201 Haverford Ave
Philadelphia, PA 19139-1401
Phone (267) 275-4095

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD474825PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Services, Inc. CurrentSince Feb 26, 2024 Accepting new patients
Public Health Management Corporation Current Accepting new patients
University of Penn-Medical Group CurrentSince Aug 16, 2021 Accepting new patients
University of Penn-Medical Group CurrentSince Sep 30, 2021 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Aug 16, 2021 Accepting new patients
University of Penn - Medical Group Current Accepting new patients
Spectrum Health Services, Inc. CurrentSince Feb 26, 2024 Accepting new patients
Spectrum Health Services, Inc. Current Accepting new patients
Public Health Management Corporation CurrentSince Aug 23, 2021 Accepting new patients
Public Health Management Corporation CurrentSince Aug 23, 2021 Accepting new patients
Spectrum Health Services Inc Past Accepting new patients

Locations

5201 Haverford Ave
Philadelphia, PA 19139
Phone (215) 472-6097

501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046

3737 Market St
#9
Philadelphia, PA 19104
Phone (215) 294-9525

1325 S 33rd St
Ste 300
Philadelphia, PA 19146

5675 N Front St
Philadelphia, PA 19120
Phone (215) 224-0440

3525 Cottman Ave
Philadelphia, PA 19149

1415 N Broad St
Ste 224
Philadelphia, PA 19122
Phone (267) 275-4095

3737 Market St
Fl 9
Philadelphia, PA 19104
Phone (215) 294-9284

Interoperability endpoints

  • Direct secure messaging: amy.holland.1@20090.direct.athenahealth.com

Organizations & group practices 12

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": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1508356353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 E BERKS ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191252802",
            "telephone_number": "484-431-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MARKET ST FL 9",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045545",
            "telephone_number": "484-431-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "AMY",
        "middle_name": "WHARTON",
        "credential": "MD, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD474825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.