JEFFREY RICHARD HOLZBERG (NPI# 1235556168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235556168 |
| Entity Type | Individual |
| Full Name | JEFFREY RICHARD HOLZBERG |
| Credential | M.D. |
| Practice Address |
815 E 15th St Douglas AZ 85607-1631 |
| Mailing Address |
1205 F Ave Douglas AZ 85607-1920 |
| Practice Telephone | 5203645437 |
| Practice Fax Number | 5203644261 |
| Mailing Telephone | (520) 364-6852 |
| Mailing Fax Number | 5203644261 |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 54607 | AZ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13001 E 17th Pl, University of Colorado School of Medicine Gme, Aurora, CO 800452570 | 7207773846 |
| Street Address |
815 E 15TH ST |
| City | DOUGLAS |
| State | AZ |
| Zip Code | 85607-1631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144289760 | Milla Sergeerna Rosen | Pediatrics | 815 E 15th St, Douglas, AZ 85607-1631 | 2006-03-22 |
| 1457979957 | Eva Weintraub | Nurse Practitioner | 815 E 15th St, Douglas, AZ 85607-1631 | 2020-07-10 |
| 1619413895 | Jamie Kearney | Nurse Practitioner | 815 E 15th St, Douglas, AZ 85607-1631 | 2017-01-12 |
| 1255707352 | Devyn R Thurber | Nurse Practitioner | 815 E 15th St, Douglas, AZ 85607-1631 | 2015-08-12 |
| 1942684394 | Sarah Rose Earnest | Physical Therapist | 815 E 15th St, Douglas, AZ 85607-1631 | 2015-07-15 |
| 1477940310 | Mai El Gasim | Pediatrics | 815 E 15th St, Douglas, AZ 85607-1631 | 2015-04-17 |
| 1710388954 | Claudia Patricia Pleitez Tecun | Pediatrics | 815 E 15th St, Douglas, AZ 85607-1631 | 2014-09-08 |
| 1144560160 | Eduardo Antonio Marrero Velis | Pediatrics | 815 E 15th St, Douglas, AZ 85607-1631 | 2013-02-28 |
| 1003177379 | Brenda Kay James | Dietitian, Registered | 815 E 15th St, Douglas, AZ 85607-1631 | 2012-06-04 |
| 1598044596 | Beth Sabghir | Specialist | 815 E 15th St, Douglas, AZ 85607-1631 | 2011-08-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811472665 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1151 16th Street, Douglas, AZ 85607 | 2018-09-27 |
| 1457758609 | Angela Leah Overturf | Nurse Practitioner | 100 East 5th Street, Douglas, AZ 85607 | 2014-12-02 |
| 1609279108 | Walter Tucker | Counselor | 2100 E 8th, Douglas, AZ 85607 | 2014-09-29 |
| 1851700488 | Gerardo Grijalva | Non-emergency Medical Transport (VAN) | 2714 E 6th St, Douglas, AZ 85607 | 2014-08-07 |
| 1174933246 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 1019 F Ave, Douglas, AZ 85607 | 2014-04-29 |
| 1831473164 | Cheryl Lynn Mcneeley | Speech-Language Pathologist | 815 E. 15th Street, Douglas, AZ 85607 | 2011-10-05 |
| 1245523364 | Community Intervention Associates | Community/Behavioral Health | 1701 North Douglasave, Douglas, AZ 85607 | 2011-05-23 |
| 1174820898 | Chiricahua Community Health Centers, Inc | Clinic/Center | 815 15th Street, Douglas, AZ 85607 | 2011-02-15 |
| 1033319512 | Community Healthcare of Douglas Inc | Clinic/Center | 1906 11th Street, Douglas, AZ 85607 | 2007-07-23 |
| 1538360888 | Jay Daniel Zamora | Chiropractor | 1915 E 10th St, Douglas, AZ 85607 | 2007-05-31 |
| Find all providers in zip 85607 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346482700 | V and V Clinic | Pediatrics | 1020 West Bryan Street, Douglas, GA 31533 | 2009-04-01 |
| 1326211152 | Carol Renee Williams | Pediatrics | 200 Doctors Dr Ste P, Douglas, GA 31533-2202 | 2008-04-13 |
| 1568496164 | Jonathan Paul Melk | Pediatrics | 815 E 15th Street, Douglas, AZ 85607-1631 | 2006-07-10 |
| 1144289760 | Milla Sergeerna Rosen | Pediatrics | 815 E 15th St, Douglas, AZ 85607-1631 | 2006-03-22 |
| 1609869114 | Dushyant J Patel | Pediatrics | 1020 Bryan St W, Douglas, GA 31533-2328 | 2005-08-30 |
| 1659379741 | Dyapa S Reddy | Pediatrics | 303b Shirley Ave, Douglas, GA 31533-2333 | 2005-07-12 |
| 1477940310 | Mai El Gasim | Pediatrics | 815 E 15th St, Douglas, AZ 85607-1631 | 2015-04-17 |
| 1710388954 | Claudia Patricia Pleitez Tecun | Pediatrics | 815 E 15th St, Douglas, AZ 85607-1631 | 2014-09-08 |
| 1417396342 | Joi Livingston Rogers | Pediatrics | 200 Doctors Dr, Suite 201, Douglas, GA 31533-2201 | 2013-06-25 |
| 1144560160 | Eduardo Antonio Marrero Velis | Pediatrics | 815 E 15th St, Douglas, AZ 85607-1631 | 2013-02-28 |
| Find all providers in DOUGLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.