Individual provider Active NPI

Timothy Troy Holbert, PA

  • Medical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1801876834
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2021 Issued in AZ
Practice address
2222 E Highland Ave
Suite 400
Phoenix, AZ 85016-4872
Phone
(602) 667-7900
Fax
(602) 667-7993
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2021 AZ Primary

Addresses

Primary practice location

2222 E Highland Ave
Suite 400
Phoenix, AZ 85016-4872

Mailing address

PO Box 12546
Glendale, AZ 85083
Phone (623) 229-4674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070517000181 AZ Practitioner - Physician Assistant 3971600446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Advanced Surgery LLCGroup PAC ID 0547690166, 93 clinicians

Practice addresses (Care Compare)

2320 N 3Rd St
Phoenix, AZ 85004-1303
Phone (602) 340-0201

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurosurgical Associates, LTD CurrentSince Jan 2, 2020 Accepting new patients
Neurosurgical Associates, LTD CurrentSince Jan 2, 2020 Accepting new patients
Arizona Advanced Surgery LLC CurrentSince Aug 15, 2025 Accepting new patients
Institute for Bone and Joint Disorders PC Past Accepting new patients

Locations

2945 S Dobson Rd
#2320N
Mesa, AZ 85202

6040 N 7th St
Ste 105
Phoenix, AZ 85014
Phone (602) 277-7430

2910 N 3rd Ave
#200
Phoenix, AZ 85013
Phone (602) 406-3008

2320 N 3rd St
Phoenix, AZ 85004
Phone (602) 258-3262

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJBCD

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801876834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12546",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85083",
            "telephone_number": "623-229-4674",
            "fax_number": "623-533-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 E HIGHLAND AVE",
            "address_2": "SUITE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164872",
            "telephone_number": "602-667-7900",
            "fax_number": "602-667-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBERT",
        "first_name": "TIMOTHY",
        "middle_name": "TROY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.