Active NPI
Ann B Holland, D.P.M.
- Podiatrist
- Dundee, FL
National Provider Identifier
1992991632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO2449
- Practice address
- 106 Center St
Dundee, FL 33838-4374 - Phone
- (863) 439-4000
- Fax
- (863) 439-2257
- NPI assigned
- Sep 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO2449 | FL | Primary |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | PO2449 | FL |
Addresses
Primary practice location
106 Center St
Dundee, FL 33838-4374
Mailing address
220 Lake Link Rd
Winter Haven, FL 33884-1003
Phone (863) 439-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 340224000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101123001272 | FL | Practitioner - Podiatry | 0143416586 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
106 Ctr St
Dundee, FL 33838-4374
Phone (863) 439-4000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 71 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 139 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kevin S Burkevich LLC | Current | Accepting new patients | |
| Dr. Marc Feldman DPM PA | Podiatrist | Past | Accepting new patients |
Locations
106 Center St
Dundee, FL 33838
Phone (610) 554-6245
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Dundee, FL
- NPI 1497127096
-
- Podiatrist
- Sebring, FL
- NPI 1477740603
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1992991632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 LAKE LINK RD",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338841003",
"telephone_number": "863-439-4000",
"fax_number": "863-439-2257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 CENTER ST",
"city": "DUNDEE",
"state": "FL",
"postal_code": "338384374",
"telephone_number": "863-439-4000",
"fax_number": "863-439-2257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "ANN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-17",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO2449",
"primary": true
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "FL",
"license": "PO2449",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "340224000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dundee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.