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Active NPI 1982196218 Individual Practitioner Male Practitioner

Dr. Holden Spivak , MD

Surgery • Providence, RI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Holden Spivak, MD is a certified Surgery practicing in Providence, RI. With approximately 8 years of clinical experience since graduating from George Washington University School Of Medicine in 2018, Dr. Spivak delivers high-quality medical care to the local community at 2 DUDLEY ST STE 470.

Dr. Spivak maintains professional affiliations with University Surgical Associates, Inc., Lifespan Physician Group Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2 Dudley St Ste 470

Providence, RI 029053248

Telephone 4015538355
Fax 4018682328
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

George Washington University School Of Medicine

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Providence, RI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -16.5 yrs vs City Avg
City Avg: 24.5 Yrs
State Avg: 29.0 Yrs
Regional Practice Density
95 Specialists

Practicing in Providence, RI (160 Statewide)

Telehealth Adoption Rate
4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Spivak (8 Years) 8 Yrs
Providence Specialty Average (24.5 Years) 24.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-06-12
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License RI MD20640

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License RI LP04314

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License NY 329166

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

University Surgical Associates, Inc.

2 Dudley St, Providence, RI 029053248

Phone: 4012721800

Lifespan Physician Group Inc

2 Dudley St, Providence, RI 029053248

Phone: 4012721800

Secondary Practice Locations

Health Sciences Center Level 19, Rm 085

Stony Brook, NY 117941544

Phone: 6314442034

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Nicole Breting , APRN

Nurse Practitioner

NPI 1023488145

Advanced Practice Registered Nurse

Dr. Stephanie Lueckel , MD

Surgery - Surgical Critical Care

NPI 1073730065

Doctor of Medicine (M.D.)

NPI 1083611073

PHYSICIANASSISTANT

NPI 1144377961

Doctor of Medicine (M.D.)

Joshua Zambrano , PA-C

Physician Assistant

NPI 1467117333

Physician Assistant (Certified)

NPI 1629538863

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 12, 2025

Registered at 2 DUDLEY ST STE 470, PROVIDENCE, RI 029053248 (Tel: 4015538355)

📍
Updated Practice Location August 02, 2024

Registered at HEALTH SCIENCES CENTER LEVEL 19, RM 085, STONY BROOK, NY 117941544 (Tel: 6314442034)

📍
Updated Business Mailing Address June 15, 2023

Registered at 22 S GREENE ST, BALTIMORE, MD 212011544 (Tel: 4103289781)

NPI Profile Active June 01, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2018

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923 (Tel: 4014445471)

📍
Updated Business Mailing Address June 01, 2018

Registered at 593 EDDY ST, PROVIDENCE, RI 029034923

👤
Provider Name / Credentials Updated June 01, 2018

Recorded as HOLDEN SPIVAK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2018

Surgery (License #LP04314 in RI)

🟢
Initial NPI Registration & Enumeration June 01, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982196218
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2018
Last Update: June 12, 2025
Sole Proprietor: No

Mailing Address

22 S Greene St

Baltimore, MD 212011544

Phone: 4103289781

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.