Individual provider Active NPI

Elizabeth D. Holby, MD

  • Anesthesiology Physician
  • Fall River, MA
National Provider Identifier
1891795720
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
235286 Issued in MA
Practice address
363 Highland Avenue
Fall River, MA 02702-2100
Phone
(508) 679-3131
Fax
(508) 679-7146
NPI assigned
Jul 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD08166 RI
Anesthesiology Physician 207L00000X 235286 MA Primary

Addresses

Primary practice location

363 Highland Avenue
Fall River, MA 02702-2100

Mailing address

340 Main Street
Ste. 670
Worcester, MA 01608-1604
Phone (508) 754-3566

Other identifiers 2

IdentifierTypeStateIssuer
2157667MedicaidMA
7002849MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20080917000748 MA Practitioner - Anesthesiology 6507866282 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD08166RIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nantucket Cottage Hospital CurrentSince Aug 7, 2021 Accepting new patients
North American Partners in Anesthesia Massachusetts LLC Anesthesiology CurrentSince Apr 3, 2018 Accepting new patients
Nantucket Cottage Hospital CurrentSince Aug 7, 2021 Accepting new patients
Nantucket Physicians Organization CurrentSince Aug 7, 2021 Accepting new patients
Narragansett Bay Anesthesia, LLC Anesthesiology CurrentSince Feb 1, 2018 Accepting new patients
Anesthesia Associates of Kent County, LLC Anesthesiology Past Accepting new patients
Anesthesia Associates of Kent County, LLC Anesthesiology Past Accepting new patients

Locations

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200

101 Page St
New Bedford, MA 02740
Phone (508) 961-5425

300D Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 998-6683

440 Swansea Mall Dr
Swansea, MA 02777
Phone (508) 324-1171

43 High St
Wareham, MA 02571
Phone (508) 273-4200

455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000

Interoperability endpoints

  • Direct secure messaging: eholby20492@direct.southcoast.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1891795720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MAIN STREET",
            "address_2": "STE. 670",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081604",
            "telephone_number": "508-754-3566",
            "fax_number": "508-798-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 HIGHLAND AVENUE",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027022100",
            "telephone_number": "508-679-3131",
            "fax_number": "508-679-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBY",
        "first_name": "ELIZABETH",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "RI",
            "license": "MD08166",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "235286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2157667",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7002849",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.