David W Holder

M.D. | Pediatric Adolescent Medicine | Male

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Complete Profile:

David W Holder basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Adolescent Medicine
Provider Name :	David W Holder
Credential :	M.D.
Gender :	Male

Business Address:

David W Holder address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	517 Moye Blvd Greenville, NC, 27834-2849 United States
Phone Number :	252-744-5437
Fax Number :	252-744-1514

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1508805508
NPI Entity Type :	Individual
First Enrolment Date :	05 Jun, 2006
Last Updated On :	02 Aug, 2022

Medicare Participation:

David W Holder participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2264596238
Medicare Enrollment ID :	I20221207002729
Primary Specialty :	Internal Medicine
Medical School :	Harvard Medical School
Graduation Year :	1990
Accepts Medicare?	Yes. David W Holder accepts medicare insurance.

Group Practice Association:

David W Holder is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which David W Holder is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Community Clinic, Inc	6204722614	23	8630 Fenton St Silver Spring, MD - 209103808	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for David W Holder are as mentioned. Primary taxonomy code for David W Holder, M.D. is 2080A0000X (Pediatrics Adolescent Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
207R00000X	Internal Medicine	No	2009-01748	NC
2080A0000X	Pediatrics Adolescent Medicine	Yes	2009-01748	NC

Legacy Identifiers:

Other legacy medical identifiers of David W Holder such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
155CP	Other	NC	BCBS NC
5913154	MEDICAID	NC

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 751069 Charlotte, NC, 28275-1069 United States

Business Location:

Patients can refer following map for directions to David W Holder practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.