Michelle Marie Spech-Holderbaum, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35-058884 Issued in OH

Practice address

36100 Euclid Ave
#240
Willoughby, OH 44094

Phone

(440) 953-6294

Fax

(440) 918-4687

NPI assigned

Aug 21, 2006

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Northeastern Ohio University College of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Miodrag Zivic LLCGroup PAC ID 9739405457, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospice of the Western Reserve, Inc Hospice, Cleveland, OH, CCN 361503
• Hospice of the Western Reserve at University Hosp Hospice, Cleveland, OH, CCN 361678
• Slovene Home for the Aged Nursing home, Cleveland, OH, CCN 365567

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Dr Miodrag Zivic LLC

  • Internal Medicine Physician
  • Beachwood, OH
  • NPI 1437557782
  Medicare reassignment Care Compare group NPD
• Lake Hospital System Inc

  • Family Medicine Physician
  • Middlefield, OH
  • NPI 1952339996

  Internal Medicine

  Medicare reassignment NPD
• Lake Hospital System Inc

  • Surgery Physician
  • Willoughby, OH
  • NPI 1508800426
  NPD
• Lake Hospital System, Inc

  • Urgent Care Clinic/Center
  • Chardon, OH
  • NPI 1689634966

  Internal Medicine

  NPD
• Slovene Home for the Aged

  • Nursing Facility/Intermediate Care Facility
  • Cleveland, OH
  • NPI 1316916612
  NPD (past)

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

• Hospice of the Western Reserve at University Hospitals, LLC

  • Community Based Hospice Care Agency
  • Cleveland, OH
  • NPI 1821561614
  Care Compare affiliation
• Hospice of the Western Reserve, Inc.

  • Pediatric Hospice and Palliative Medicine Physician
  • Cleveland, OH
  • NPI 1255333753
  Care Compare affiliation
• Slovene Home for the Aged

  • Nursing Facility/Intermediate Care Facility
  • Cleveland, OH
  • NPI 1316916612

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1851407167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781389",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781389",
            "telephone_number": "440-354-1985",
            "fax_number": "440-350-4938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36100 EUCLID AVE",
            "address_2": "#240",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "44094",
            "telephone_number": "440-953-6294",
            "fax_number": "440-918-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECH-HOLDERBAUM",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-058884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0756945",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.spechholderbaum@lhpg.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Baseline West Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "36100 Euclid Ave",
            "address_2": "#240",
            "city": "Willoughby",
            "state": "OH",
            "country_code": "US",
            "postal_code": "44094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Fnu Sonam Tsomo
• Leah Sopko, CNP
• Sarah Marie Sottosanti
• Leonard Spacek
• Jenna Leigh Spain, LPN
• Spectera
• Audra Speerhas
• Maddison Spencer
• Natalia B Spicer
• Jennifer Spring

• Internal Medicine Physician in Willoughby, OH
• Providers in Willoughby, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.

Verify at the official NPI Registry.