Active NPI
Michael L Holdeman, MD
- Anesthesiology Physician
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 200600542
- Practice address
- 2080 W Arlington Blvd Ste B
Greenville, NC 27834 - Phone
- (252) 752-2140
- Fax
- (252) 689-6502
- NPI assigned
- Dec 13, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 200600542 | NC | Primary |
Addresses
Primary practice location
2080 W Arlington Blvd Ste B
Greenville, NC 27834
Mailing address
2080 W Arlington Blvd Ste B
Greenville, NC 27834-3770
Phone (252) 752-2140
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5906433 | Medicaid | NC | |
| 144V4 | Other | NC | BSBC OF NC |
| P00603480 | Other | NC | RAILROAD MEDICARE |
| 195407 | Other | NC | MEDCOST |
| 1689735607 | Other | NC | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Texas Southwestern Medical School at Dallas, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-4100
2430 Emerald PL
Suite 103
Greenville, NC 27834-5743
Phone (252) 752-2140
Hospital & facility affiliations
- Ecu Health Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carolina Anesthesia Associates, PLLC | Anesthesiology | Current | Accepting new patients |
| Austin Anesthesiology Group PLLC | Anesthesiology | Past | Accepting new patients |
| Austin Anesthesiology Group, PLLC | Anesthesiology | Past | Accepting new patients |
Locations
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
2080 W Arlington Blvd
Ste B
Greenville, NC 27834
Phone (252) 752-2140
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
-
- Anesthesiology Physician
- Bryan, TX
- NPI 1528326154
-
- Anesthesiology Physician
- Austin, TX
- NPI 1598724304
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Washington, NC
- NPI 1780359687
-
- General Acute Care Hospital
- Greenville, NC
- NPI 1043218944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1689735607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2080 W ARLINGTON BLVD STE B",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278343770",
"telephone_number": "252-752-2140",
"fax_number": "252-689-6502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 W ARLINGTON BLVD STE B",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27834",
"telephone_number": "252-752-2140",
"fax_number": "252-689-6502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDEMAN",
"first_name": "MICHAEL",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "200600542",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5906433",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSBC OF NC",
"identifier": "144V4",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00603480",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "195407",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "1689735607",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.