Medical Holistic Center, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

OS9438 Issued in FL

Legal business name

MEDICAL HOLISTIC CENTER, LLC

Practice address

512 Canal St
New Smyrna Beach, FL 32168-7012

Phone

(386) 663-3003

Fax

(386) 663-3007

NPI assigned

Jul 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Katie Anne Stevenson, DOMNPI 1386823250

Title

Managing Partner

Phone

(386) 663-3003

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Katie Anne Stevenson, D.O.M.

  • Acupuncturist
  • New Smyrna Beach, FL
  • NPI 1386823250
  NPD (past) Authorized official

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1770747990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 CANAL ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687012",
            "telephone_number": "386-663-3003",
            "fax_number": "386-663-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 CANAL ST",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321687012",
            "telephone_number": "386-663-3003",
            "fax_number": "386-663-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL HOLISTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "386-663-3003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOM"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS9438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIPASS",
            "identifier": "279979100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279979100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William P McLeod, MD
• Mdpa Solutions, Inc
• Jayne Meade, R,D,, L.D.
• Mecnb, LLC
• Medical Arts Laboratory of New Smyrna Beach Inc
• Medsouth Mobility Inc.
• Mefl, LLC
• Angie Meilahn
• Cassidy Melanson, CTRI
• Memorial Health Systems Inc

• General Practice Physician in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.

Verify at the official NPI Registry.