Active NPI
Sidney Wayne Holec, M.D.
- Surgery Physician
- Venice, FL
National Provider Identifier
1528132412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME0022788
- Practice address
- 436 Nokomis Ave S
Venice, FL 34285-2617 - Phone
- (941) 488-7742
- Fax
- (941) 484-7756
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME0022788 | FL | Primary |
| Surgery Physician | 208600000X | EO982 | TX |
Addresses
Primary practice location
436 Nokomis Ave S
Venice, FL 34285-2617
Mailing address
436 Nokomis Ave S
Venice, FL 34285-2617
Phone (941) 488-7742
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 92415 | Other | FL | BCBS |
| 04889 | Other | FL | UNIVERSAL |
| 7007140 | Other | FL | CIGNA |
| 020012689 | Other | FL | RAILROAD MEDICARE |
| 303424 | Other | FL | UNITED HEALTH CARE GROUP MPIN |
| 59-1362995 | Other | FL | GROUP TAX ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0022788 | FL | MD | Surgery Physician |
| EO982 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SMH Physician Services Inc | Past | Accepting new patients |
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.
-
dba First Physicians Group
- Internal Medicine Physician
- Sarasota, FL
- NPI 1346295292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224547200000",
"number": "1528132412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 NOKOMIS AVE S",
"city": "VENICE",
"state": "FL",
"postal_code": "342852617",
"telephone_number": "941-488-7742",
"fax_number": "941-484-7756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 NOKOMIS AVE S",
"city": "VENICE",
"state": "FL",
"postal_code": "342852617",
"telephone_number": "941-488-7742",
"fax_number": "941-484-7756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLEC",
"first_name": "SIDNEY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2008-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME0022788",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "EO982",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "92415",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSAL",
"identifier": "04889",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7007140",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020012689",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE GROUP MPIN",
"identifier": "303424",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP TAX ID #",
"identifier": "59-1362995",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Venice, FL
- Sharon Hobgood
- Nicole Denise Holbrook, OTR/L, CHT
- Ryan Stephen Holbrook, DMD
- Melissa J Holderbach, BCBA
- Russell Lane Holderness, DDS
- Raul Holguin, M.D.
- Holiday CVS LLC (CVS Pharmacy# 01120)
- Holiday CVS LLC (CVS Pharmacy #04266)
- Holiday CVS LLC (CVS Pharmacy 03647)
- Holiday CVS LLC (CVS Pharmacy #16261)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.