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CLINTON DOUGLAS HOLDER M.D., NPI 1578560777

Internal Medicine in PALMETTO, FL

Last Updated on : Jan 24,2014

CLINTON DOUGLAS HOLDER M.D., NPI 1578560777

About CLINTON DOUGLAS HOLDER (NPI 1578560777)


CLINTON DOUGLAS HOLDER is an Internal Medicine provider in PALMETTO, United States. His medical specialization is Internal Medicine with a focus in Infectious Disease.

1578560777 is NPI number of CLINTON DOUGLAS HOLDER.

CLINTON DOUGLAS HOLDER's primary taxonomy code based on NPI Lookup is 207RI0200X with license number 40558. This taxonomy code refers to Internal Medicine.

CLINTON DOUGLAS HOLDER has more than 16 years of experience.

CLINTON DOUGLAS HOLDER current practice location address is 4604 29TH ST E, PALMETTO, FL. CLINTON DOUGLAS HOLDER can be reached out via phone at 941-845-4572 and via fax at 941-845-4572 .

You can also correspond with CLINTON DOUGLAS HOLDER through mail at mailing address 4604 29TH ST E, PALMETTO, FL, United States. Mailing address contact number is 941-845-4572.

The enumeration date of CLINTON DOUGLAS HOLDER is 01-Jul-2005. The provider is registered as an Individual and the NPI record was last updated 8 years ago.

1578560777 NPI Information

Basic NPI information of CLINTON DOUGLAS HOLDER (NPI 1578560777) is provided below.

Name CLINTON DOUGLAS HOLDER
National Provider Id (NPI) 1578560777
Entity Type Individual
Gender M
Credential M.D.
Practice Address 4604 29TH ST E,
PALMETTO, FL, United States
Practice Telephone 941-845-4572
Practice Fax Number 941-845-4572
Mailing Address 4604 29TH ST E ,
PALMETTO, FL, United States
Mailing Telephone 941-845-4572
Mailing Fax Number 941-845-4572
Enumeration Date 01-Jul-2005
Last Updated Date 24-Jan-2014

CLINTON DOUGLAS HOLDER (NPI 1578560777) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 207RI0200X Internal Medicine, Infectious Disease 40558 FL

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
042203700 MEDICAID (05) FL
30588 Other (non-Medicare) (01) FL Blue Cross/Blue Shield
30588Z MEDICARE ID-Type Unspecified (04) FL
440003237 Other (non-Medicare) (01) FL Railroad Medicare
5600211 Other (non-Medicare) (01) FL GHI
9205221 Other (non-Medicare) (01) FL UnitedHealthCare
923014 Other (non-Medicare) (01) PA Blue Cross/Blue Shield
AH1731113 Other (non-Medicare) (01) FL DEA
D54050 MEDICARE UPIN (02) FL
ME0040558 Other (non-Medicare) (01) FL Workers' Compensation

CLINTON DOUGLAS HOLDER (NPI 1578560777) Office Location

Office location of CLINTON DOUGLAS HOLDER is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1851836571 ALVARO CORNEJO COBO Student in an Organized Health Care Education/Training Program 425 NURSING HOME DR,
ARCADIA, FL, United States
04-Jan-2017
1871066514 CRYSTAL HART Physical Therapy Assistant 3427 99TH ST E,
PALMETTO, FL, United States
04-Jan-2019
1780821033 LANDRA MICHELLE WOODCOCK Acupuncturist 8259 47TH STREET CIRCLE EAST,
PALMETTO, FL, United States
08-Jan-2009
1710162912 CUSTOM MEDICAL SYSTEMS, INC. Durable Medical Equipment & Medical Supplies, Customized Equipment 404 10TH AVE W,
PALMETTO, FL, United States
07-Jan-2008
1235602541 WC DOC-CHASERS Preferred Provider Organization 5220 69TH ST E,
PALMETTO, FL, United States
09-Jan-2019
1326198797 THE KIDSPOT Clinic/Center 410 10TH AVE W,
PALMETTO, FL, United States
10-Jan-2007
1407032030 SHAYNE NICOLE MOYLES Internal Medicine 12271 US HIGHWAY 301 N,
PARRISH, FL, United States
14-Jan-2008
1336419282 JOEL PUNG Physical Therapist 2825 TERRA CEIA BAY BLVD, # 1702
PALMETTO, FL, United States
10-Jan-2012
1043580764 ANNETTA J MATYASI Physical Therapy Assistant 1410 7TH ST W,
PALMETTO, FL, United States
11-Jan-2012
1124178975 MAHENDRAKUMAR A PATEL Internal Medicine 700 8TH AVE W, STE 101
PALMETTO, FL, United States
12-Jan-2007
1629128350 WARREN A. PAQUIN Optometrist 6809 RIVERVIEW BLVD,
BRADENTON, FL, United States
12-Jan-2007
1437209087 WAYNE R. WOOD Optometrist 4004 99TH ST W,
BRADENTON, FL, United States
12-Jan-2007
1326556317 NEREIDA VALLE Nurse Anesthetist, Certified Registered 6814 69TH ST E,
PALMETTO, FL, United States
12-Jan-2018
1992194005 ANN MARIE MOBLEY Acupuncturist 2010 4TH ST W,
PALMETTO, FL, United States
13-Jan-2015
1568884245 SAMSON MERGER SUB, LLC Durable Medical Equipment & Medical Supplies PO BOX 2209,
JACKSONVILLE, FL, United States
14-Jan-2014
1801134481 JEFFREY S LEE Pharmacist 1101 8TH AVE W,
PALMETTO, FL, United States
16-Jan-2013
1568442598 RAJANI K KONDABALA Pediatrics 218 9TH STREET DR W,
PALMETTO, FL, United States
17-Jan-2006
1184776643 JOANNE MARIE NUTTALL Nurse Practitioner 7213 50TH PL E,
PALMETTO, FL, United States
17-Jan-2007
1841689411 DAVID PADRON Pharmacist 3416 100TH CT E,
PALMETTO, FL, United States
20-Jan-2015
1659845980 DEBORAH ZOLKOS Nurse Practitioner, Family 700 8TH AVE W STE 101,
PALMETTO, FL, United States
21-Jan-2019

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1578560777?

1578560777 is the NPI number of CLINTON DOUGLAS HOLDER.

What is the specialty for CLINTON DOUGLAS HOLDER?

The Specialty of CLINTON DOUGLAS HOLDER is Internal Medicine.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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