Rose Marie Holodniak, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9102591 Issued in FL

Practice address

1383 Providence Rd
Brandon, FL 33511-4885

Phone

(813) 681-5714

Fax

(813) 689-9557

NPI assigned

Nov 15, 2006

Last updated

Mar 30, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1790858397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1383 PROVIDENCE RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114885",
            "telephone_number": "813-681-5714",
            "fax_number": "813-689-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1383 PROVIDENCE RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114885",
            "telephone_number": "813-681-5714",
            "fax_number": "813-689-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLODNIAK",
        "first_name": "ROSE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9102591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holistic Aid Alf. LLC (Park View Estate of Brandon)
• Byron Edward Holley, M.D.
• Bailee Ryan Hollis
• Padgett Holloman
• Todd L Holm, LMT
• William Homan, PA
• Homecare Topia LLC
• Megan Honeyman, M.S., C.C.C.
• Aaron Sung Hong, PHARMD
• Neal A Honickman, MD

• Medical Physician Assistant in Brandon, FL
• Providers in Brandon, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.