Active NPI
Kimberly J Holding, MD
- Internal Medicine Physician
- Oakland Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME80585
- Practice address
- 1164 E Oakland Park Blvd FL 3
Oakland Park, FL 33334-2707 - Phone
- (954) 561-6900
- Fax
- (954) 568-7021
- NPI assigned
- Apr 17, 2006
- Last updated
- Oct 11, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME80585 | FL | Primary |
Addresses
Primary practice location
1164 E Oakland Park Blvd FL 3
Oakland Park, FL 33334-2707
Mailing address
6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 498-6674
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 258926500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Rutgers School of Dental Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3135 State Rd
Suite 1
Safety Harbor, FL 34695-4917
Phone (727) 725-9931
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME80585 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| AIDS Healthcare Foundation | Internal Medicine | Current | Accepting new patients |
| Choctaw Nation of Oklahoma | Current | Accepting new patients | |
| AIDS Healthcare Foundation | Current | Accepting new patients | |
| AIDS Healthcare Foundation | Current | Accepting new patients | |
| Choctaw Nation of Oklahoma | Current | Accepting new patients |
Locations
6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200
6333 N Federal Hwy
Ste 301302
Ft Lauderdale, FL 33308
Phone (954) 772-2411
1164 E Oakland Park Blvd
Fl 3
Oakland Park, FL 33334
Phone (954) 561-6900
2866 E Oakland Park Blvd
Ste 2
Oakland Park, FL 33306
Phone (954) 462-8323
3135 State Road 580
Ste 1
Safety Harbor, FL 34695
Phone (727) 259-2000
1127 S George Nigh Expy
McAlester, OK 74501
Phone (918) 423-8440
109 Kerr Blvd
Poteau, OK 74953
Phone (918) 649-1100
1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440
Interoperability endpoints
- kimberly.holding.1@26356.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ahf
- Health Service Clinic/Center
- North Miami Beach, FL
- NPI 1427218874
-
dba Choctaw Nation Health Care
- Rural Acute Care Hospital
- Talihina, OK
- NPI 1659347623
TX
-
dba AHF Pharmacy
- Community/Retail Pharmacy
- Baton Rouge, LA
- NPI 1891525184
-
dba Choctaw Nation Health Clinic - Broken Bow
- Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
- Broken Bow, OK
- NPI 1447143532
-
dba Choctaw Nation Health Care Clinic-Mcalester
- Primary Care Clinic/Center
- McAlester, OK
- NPI 1952377939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570752000000",
"number": "1528022431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 W SUNSET BLVD FL 21",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287422",
"telephone_number": "323-498-6674",
"fax_number": "855-312-7678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1164 E OAKLAND PARK BLVD FL 3",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333342707",
"telephone_number": "954-561-6900",
"fax_number": "954-568-7021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDING",
"first_name": "KIMBERLY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-17",
"last_updated": "2019-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME80585",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "258926500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland Park, FL
- Christopher Edwards Hickman, PRIMARY THERAPIST
- Hilly Home Health LLC
- Kimberley Hinton
- Ta'Veca Angelina Hinton, MSW
- Linda Susan Hoffman, ARNP-C,CDE
- Holiday CVS LLC (CVS Pharmacy #05250)
- Holistic Health Care
- Holy Cross Hospital Inc (Holy Cross Community Pharmacy - Oakland Park)
- Holy Cross Hospital, Inc (Holy Cross Diabetes Prevention Program)
- Home for Golden Age LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.