Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Holden Spivak, MD

Individual provider Surgery Physician · NPI 1982196218

Holden Spivak, MD is a General Surgery in Providence, Rhode Island. Graduated from George Washington University School of Medicine in 2018, 8 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York and Rhode Island.

Years since qualifying
8
Trained at
George Washington University School of Medicine
Licensed in
NY, RI
In the registry since
2018
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2 Dudley St Ste 470
Providence, RI 02905-3248
Phone: (401) 553-8355
Fax: (401) 868-2328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Health Sciences Center Level 19, Rm 085, Stony Brook, NY 11794-1544 — (631) 444-2034

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD20640 (RI)
Surgery Physician Taxonomy 208600000X · Licence LP04314 (RI)
Surgery Physician Taxonomy 208600000X · Licence 329166 (NY)

Record details

NPI number1982196218
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2018
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Providence