DR. EDWARD JOHN HOLUBOWITCH M.D. NPI 1427026319

NPI Information

NPI: 1427026319
Provider Name: DR. EDWARD JOHN HOLUBOWITCH, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
400 W CAMINO CASA VERDE
#100
GREEN VALLEY, AZ
ZIP 85614
Phone: (520) 625-1760
Get Directions

DR. Edward John Holubowitch, M.D. is a family medicine in Green Valley, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Edward John Holubowitch, M.D. NPI is 1427026319. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

400 W CAMINO CASA VERDE
#100
GREEN VALLEY, AZ
ZIP 85614-564
Phone: (520) 625-1760
Fax: (520) 648-1394

The NPI 1427026319 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/8/2006 and was last updated on 2/8/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		0101036227	VIRGINIA	No
2	207Q00000X	Family Medicine		45484	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	080018162	OTHER	VIRGINIA	RAILROAD MEDICARE PROVIDE
2	005629250	OTHER	VIRGINIA	VIRGINIA PREMIER PROVIDER
3	2129327	OTHER	VIRGINIA	MAMSI PROVIDER NUMBER
4	79292	OTHER	VIRGINIA	SOUTHERN HEALTH PROVIDER
5	C01513	MEDICARE ID-TYPE UNSPECIFIED	VIRGINIA	MEDICARE GROUP NUMBER
6	671649	MEDICAID	ARIZONA
7	0164R	OTHER	VIRGINIA	BCBS OF NC COSTWISE
8	C84557	MEDICARE UPIN	VIRGINIA
9	005629250	MEDICAID	VIRGINIA
10	0103774	OTHER	VIRGINIA	UNITED HEALTHCARE PROVIDE
11	CB1505	OTHER	VIRGINIA	RAILROAD MEDICARE GROUP #
12	466797	OTHER	VIRGINIA	ANTHEM PROVIDER NUMBER
13	080002267	MEDICARE ID-TYPE UNSPECIFIED	VIRGINIA	MEDICARE PROVIDER NUMBER
14	466796	OTHER	VIRGINIA	ANTHEM GROUP NUMBER
15	101808	OTHER	VIRGINIA	CIGNA PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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