Active NPI
Travis C Holcombe MD PC
- Plastic and Reconstructive Surgery Physician
- Phoenix, AZ
National Provider Identifier
1629254735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- MD21129
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Surgical Physician Assistant
- Phoenix, AZ
- NPI 1700335833
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.