Mary E Holtham (NPI# 1568432748, PAC ID# 5799785150) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1568432748 |
| PAC ID by PECOS | 5799785150 |
| Professional Enrollment ID | I20070109000091 |
| Full Name | Mary E Holtham |
| Organization Legal Name | FLORIDA PAIN RELIEF GROUP PLLC |
| Address |
3622 Madaca Ln Tampa FL 33618-2057 |
| Phone Number | 8139611314 |
| Gender | F |
| Credential | PA |
| Graduation Year | 1998 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4688960271 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100028 | PARRISH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3622 Madaca Ln, Tampa, FL 33618-2057 | 8139611314 | FLORIDA PAIN RELIEF GROUP PLLC |
| Organization Legal Name | FLORIDA PAIN RELIEF GROUP PLLC |
| Physicians | 37 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexis Leigh Kozich | Nurse Practitioner | Florida Pain Relief Group Pllc | 1110 Nikki View Dr, Brandon, FL 33511-4868 |
| Yvonne Derickson | Nurse Practitioner | Florida Pain Relief Group Pllc | 11705 San Jose Blvd, Suite 110, Jacksonville, FL 32223-1653 |
| Heidi Mattison | Nurse Practitioner | Florida Pain Relief Group Pllc | 3450 E Fletcher Ave, Suite 350, Tampa, FL 33613-4699 |
| Neil J Ellis | Interventional Pain Management | Florida Pain Relief Group Pllc | 4730 N Habana Ave, Suite 104, Tampa, FL 33614-7165 |
| Keith Girton | Pain Management | Florida Pain Relief Group Pllc | 109 Silver Palm Ave, Melbourne, FL 32901-3125 |
| Nioma M. Brown | Nurse Practitioner | Florida Pain Relief Group Pllc | 3622 Madaca Ln, Tampa, FL 33618-2057 |
| Jorge J Leal | Pain Management | Florida Pain Relief Group Pllc | 3450 E Fletcher Ave, Suite 350, Tampa, FL 33613-4699 |
| Kristopher L Gates | Nurse Practitioner | Florida Pain Relief Group Pllc | 4728 N Habana Ave, Suite 202, Tampa, FL 33614-7147 |
| Lesco L Rogers | Pain Management | Florida Pain Relief Group Pllc | 3450 E Fletcher Ave, Suite 350, Tampa, FL 33613-4699 |
| Shanisha Alonna Brown | Nurse Practitioner | Florida Pain Relief Group Pllc | 4730 N Habana Ave, Suite 104, Tampa, FL 33614-7165 |
| Street Address |
3622 MADACA LN |
| City | TAMPA |
| State | FL |
| Zip | 33618-2057 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nioma M. Brown | Nurse Practitioner | Florida Pain Relief Group Pllc | 3622 Madaca Ln, Tampa, FL 33618-2057 |
| Maria C Cadena | Nurse Practitioner | Florida Pain Relief Group Pllc | 3622 Madaca Ln, Tampa, FL 33618-2057 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cassandra K Gonzalez | Clinical Social Worker | 16702 N Dale Mabry Hwy, Tampa, FL 33618-1055 | |
| Helen Y Choi | Psychiatry | 16554 N Dale Mabry Hwy, Tampa, FL 33618-1325 | |
| Mohammed A Ali | Rheumatology | American Arthritis and Rheumatology Associates LLC | 16594 N Dale Mabry Hwy, Tampa, FL 33618-1325 |
| Dario A Grisales | Interventional Pain Management | 16542 N Dale Mabry Hwy, Tampa, FL 33618-1325 | |
| Bruce Edson | Psychiatry | 16554 N Dale Mabry Hwy, Tampa, FL 33618-1325 | |
| Julie K Linton | Clinical Social Worker | 16554 N Dale Mabry Hwy, Tampa, FL 33618-1325 | |
| Elizabeth H Zable | Rheumatology | Elizabeth H. Zable, M.d., P.a. | 16594 N Dale Mabry Hwy, Tampa, FL 33618-1325 |
| Sarah Drapela | Certified Nurse Midwife (cnm) | Florida Medical Clinic, LLC | 16650 N Dale Mabry Hwy, Tampa, FL 33618-1400 |
| Marty Odom | Internal Medicine | Florida Medical Clinic, LLC | 16646 N Dale Mabry Hwy, Tampa, FL 33618-1400 |
| Kristin Parchmon | Nurse Practitioner | Florida Hospital Physician Group Inc | 15602 N Dale Mabry Hwy, Tampa, FL 33618-1606 |
| Find all physicians in zip 33618 | |||
| City | TAMPA |
| Zip Code | 33618 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | TAMPA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Mary E Holtham.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.