Individual provider Active NPI

Ann B Holland, D.P.M.

  • Podiatrist
  • Dundee, FL
National Provider Identifier
1992991632
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO2449 Issued in FL
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

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
340224000MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions71
Removal of nail tissue1-10
Removal or shaving of skin growth139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin S Burkevich LLC CurrentSince May 5, 2018 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.

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

Verify at the official NPI Registry.