Organization Active NPI

Travis C Holcombe MD PC

  • Plastic and Reconstructive Surgery Physician
  • Phoenix, AZ
National Provider Identifier
1629254735
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
MD21129 Issued in AZ
Legal business name
TRAVIS C HOLCOMBE MD PC
Practice address
1130 E Missouri Ave Ste 180
Phoenix, AZ 85014-2736
Phone
(602) 266-9066
Fax
(833) 246-1002
NPI assigned
Jan 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Authorized official

Name
Sarah Marie Haynes, MA
Title
Administrative Assistant
Phone
(602) 266-9066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X MD21129 AZ Primary

Addresses

Primary practice location

1130 E Missouri Ave Ste 180
Phoenix, AZ 85014-2736

Mailing address

300 W Clarendon Ave Ste 440
Phoenix, AZ 85013-3476
Phone (602) 266-9066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080226000038 AZ Part B Supplier - Clinic/Group Practice 0143304410 Receives reassigned benefits from 2 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

1130 E Missouri Ave
Ste 180
Phoenix, AZ 85014
Phone (602) 266-9066

500 W Thomas Rd
Ste 960
Phoenix, AZ 85013
Phone (602) 266-9066

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1629254735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE STE 440",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133476",
            "telephone_number": "602-266-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E MISSOURI AVE STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142736",
            "telephone_number": "602-266-9066",
            "fax_number": "833-246-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS C HOLCOMBE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "602-266-9066",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "AZ",
            "license": "MD21129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.