DR. JEFFREY WAYNE HOLT (NPI# 1861402778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861402778 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY WAYNE HOLT |
| Credential | MD |
| Practice Address |
2727 Hearne Ave Suite 300 Shreveport LA 71103-3917 |
| Mailing Address |
Po Box 51008 Shreveport LA 71135-1008 |
| Practice Telephone | 3187989400 |
| Practice Fax Number | 3187983894 |
| Mailing Telephone | 3187989400 |
| Mailing Fax Number | 3187983894 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2017-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD.12690R | LA | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD.12690R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | RAILROAD MEDICARE | P00755804 | 01 |
| LA | 1571458 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891818456 | Jeffrey D. Holt | Dentist | 4112 N Josey Ln Ste 128, Carrollton, TX 75007-1529 | 2007-04-09 |
| 1265451843 | Jeffrey Edward Holt | Counselor | 4010 Washington, Suite 505, Kansas City, MO 64111 | 2006-07-18 |
| 1447289061 | Jeffrey W Holt | Chiropractor | 103 East Main St, Mountain View, AR 72560 | 2006-07-03 |
| 1275031346 | Jeffrey Holt | Behavior Technician | 416 Auburn Folsom Rd, Auburn, CA 95603-5515 | 2018-01-24 |
| 1023495157 | Jeffrey Holt | Dentist | 9760 Grant St Ste 100, Thornton, CO 80229-2178 | 2015-04-27 |
| 1326364456 | Jeffrey Graham Holt | Ophthalmology | 211 Mcauley Ct, Hot Springs, AR 71913-6314 | 2010-04-14 |
| 1700090826 | Jeffrey Randall Holt | Family Medicine | 1308 South Highway 16, Fredericksburg, TX 78624-5058 | 2007-05-09 |
| 1184711137 | Jeffrey Holt | Pathology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-10-09 |
| Street Address |
2727 HEARNE AVE SUITE 300 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-3917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255321881 | Michael Glen Walton | Internal Medicine | 2727 Hearne Ave, Suite 300, Shreveport, LA 71103-3917 | 2005-10-25 |
| 1972043511 | Wk Heart and Vascular Institute Chf Clinic | Internal Medicine | 2727 Hearne Ave, Shreveport, LA 71103-3917 | 2017-03-01 |
| 1831633510 | Kerri Lavigne | Physician Assistant | 2727 Hearne Ave, 300, Shreveport, LA 71103-3917 | 2016-12-14 |
| 1063963890 | Alex Stewart | Nurse Practitioner | 2727 Hearne Ave, Ste 300, Shreveport, LA 71103-3917 | 2016-10-17 |
| 1710366570 | James Clay Harris | Nurse Practitioner | 2727 Hearne Ave, Suite 301, Shreveport, LA 71103-3917 | 2015-05-27 |
| 1487914453 | Amy Myers Brainis | Nurse Practitioner | 2727 Hearne Ave, Suite 300, Shreveport, LA 71103-3917 | 2012-05-23 |
| 1871877407 | Cassie James Miller | Physician Assistant | 2727 Hearne Ave, Suite 300, Shreveport, LA 71103-3917 | 2011-09-30 |
| 1952610883 | Shannon Lea Betzing | Physician Assistant | 2727 Hearne Ave, Suite 300, Shreveport, LA 71103-3931 | 2010-09-27 |
| 1134457757 | Kelli Marie Neal | Physician Assistant | 2727 Hearne Ave, Suite 300, Shreveport, LA 71103-3931 | 2009-11-19 |
| 1306173638 | Amanda Mariah Savoie | Physician Assistant | 2727 Hearne Ave, Suite 300, Shreveport, LA 71103-3931 | 2009-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972714889 | Sai Konduru | Internal Medicine | 2727 Hearne Ave Ste 301, Shreveport, LA 71103-3918 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639633274 | Posina Enterprises LLC | Internal Medicine | 5911 Settlers Dr, Alexandria, LA 71303-6007 | 2019-01-28 |
| 1235638321 | Cardiac and Peripheral Vascular Services, LLC | Internal Medicine | 8050 W Judge Perez Dr Ste 2800, Chalmette, LA 70043-1740 | 2018-02-05 |
| 1629576996 | Cardiac Cin of Louisiana LLC | Internal Medicine | 3436 Magazine St Ste 550, New Orleans, LA 70115-2413 | 2018-01-31 |
| 1275031544 | Cardiac Cin of Baton Rouge LLC | Internal Medicine | 9655 Perkins Rd Ste C-220, Baton Rouge, LA 70810-1533 | 2018-01-31 |
| 1720423478 | Lafayette Cardiovascular Center of Excellence,llc | Internal Medicine | 318 Guilbeau Rd, Lafayette, LA 70506-6914 | 2013-05-08 |
| 1073820676 | Nurtured Heart, LLC | Internal Medicine | 324 Settlers Trace Blvd, Lafayette, LA 70508-6060 | 2010-09-03 |
| 1063724326 | Nayan Agarwal | Internal Medicine | 6550 Main St Ste 1000, Zachary, LA 70791-4092 | 2010-07-02 |
| 1164665477 | Salil Sethi | Internal Medicine | 3311 Prescott Rd Ste 112, Alexandria, LA 71301-3917 | 2009-04-16 |
| 1265687503 | Syed Bilal Akhtar Rizvi | Internal Medicine | 501 Medical Center Dr Ste 250, Alexandria, LA 71301-8124 | 2008-12-01 |
| 1497894620 | Cardiovascular Diagnostic Center | Internal Medicine | 402 Mcmillan Rd, West Monroe, LA 71291-5326 | 2007-02-05 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.