DR. MARK A HOLT (NPI# 1962498089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962498089 |
| Entity Type | Individual |
| Full Name | DR. MARK A HOLT |
| Credential | M.D. |
| Practice Address |
819 State Route 664 N Logan OH 43138-8540 |
| Mailing Address |
Po Box 228 Logan OH 43138-0228 |
| Practice Telephone | 7403808140 |
| Practice Fax Number | 7403808150 |
| Mailing Telephone | 7403804181 |
| Mailing Fax Number | 7403850865 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 35057635 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0929777 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 31490 Chieftain Dr, Suitea, Logan, OH 431388420 | 7403858474 | 7403855095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225432685 | Mark H Holt | Dentist | 1421 Secret Ravine Pkwy Ste 121, Roseville, CA 95661-6045 | 2014-10-14 |
| 1992708895 | Mark Manning Holt | Specialist | 39700 Bob Hope Dr Ste 203, Rancho Mirage, CA 92270-7122 | 2005-05-24 |
| 1346241528 | Mark Walker Holt | Pediatrics | 760 N Denton Tap Rd, Suite 130, Coppell, TX 75019-2163 | 2005-08-10 |
| Street Address |
819 STATE ROUTE 664 N |
| City | LOGAN |
| State | OH |
| Zip Code | 43138-8540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235133091 | James R Hayward | Family Medicine | 819 State Route 664 N, Ste A, Logan, OH 43138-8540 | 2005-06-09 |
| 1144302639 | Alexander Samuel Whidden | Nurse Anesthetist, Certified Registered | 819 State Route 664 N, Suite A, Logan, OH 43138-8540 | 2006-10-20 |
| 1215018205 | Scott J Cryder | Physician Assistant | 819 State Route 664 N, Logan, OH 43138 | 2006-10-18 |
| 1801994827 | Hocking Valley Medical Group, Inc. | General Practice | 819 State Route 664 N, Suite A & B, Logan, OH 43138-8540 | 2006-09-21 |
| 1952319246 | Lancaster Surgical Associates, Inc. | Surgery | 819 State Route 664 N, Logan, OH 43138-8540 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538667696 | Kelsey Whalen | Social Worker | 541 Sr 93 N, Suite C, Logan, OH 43138 | 2018-01-24 |
| 1144728205 | Raeann Harry-boothe | Counselor | 313 Chieftain Dr, Logan, OH 43138 | 2018-01-24 |
| 1336661784 | Megan Correll | Nurse Practitioner | 541 Sr 664n, Suite C, Logan, OH 43138 | 2017-07-07 |
| 1841735800 | Coler Drug Logan, Ltd | Durable Medical Equipment & Medical Supplies | 21 Hocking Mall, Logan, OH 43138 | 2016-12-30 |
| 1932515418 | Melissa O'harra-brown | Nurse Practitioner | 541 Sr 664 N, Suite C, Logan, OH 43138 | 2014-07-07 |
| 1790198950 | Matthew R Williams | Audiologist | 1323 West Hunter St., Logan, OH 43138 | 2014-06-05 |
| 1194138651 | Diles Logan Hearing Center, L.L.C. | Audiologist | 1323 West Hunter Street, Logan, OH 43138 | 2014-06-03 |
| 1205252210 | Shaun Crisp | Occupational Therapy Assistant | 601 Ohio 664, Hocking Valley Community Hospital, Logan, OH 43138 | 2014-03-14 |
| 1467780056 | Natalie Simpson | Licensed Practical Nurse | 583 E Second St, Logan, OH 43138 | 2009-11-20 |
| 1821243262 | Angela Rose Hartbarger | Counselor | 541 St. Rt. 664, Suite C, Logan, OH 43138 | 2008-11-26 |
| Find all providers in zip 43138 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467607820 | Joseph H Nelson | Orthopaedic Surgery | 1432 E 1200 N, Logan, UT 84341-2811 | 2008-11-25 |
| 1265639280 | Brian A. Vernon | Orthopaedic Surgery | 630 E 1400 N Ste 118, Logan, UT 84341 | 2007-07-02 |
| 1790788503 | James T Malouf | Orthopaedic Surgery | 274 N Main St, Logan, UT 84321-3915 | 2005-05-24 |
| 1437623261 | Vernon Medical Pllc | Orthopaedic Surgery | 630 E 1400 N Ste 118, Logan, UT 84341-2691 | 2019-01-15 |
| 1528149515 | Matthew Joel Kauffman | Orthopaedic Surgery | 819 State Route 664 N Ste B, Logan, OH 43138-8540 | 2006-10-18 |
| 1235232646 | Edwin Marlowe Goble | Orthopaedic Surgery | 274 N Main St, Logan, UT 84321-3915 | 2006-09-07 |
| 1417967902 | David P Murray | Orthopaedic Surgery | 1300 N 500 E, #130, Logan, UT 84341-2408 | 2006-08-08 |
| 1194735670 | Bryan C King | Orthopaedic Surgery | 1300 N 500 E, #130, Logan, UT 84341-2408 | 2006-08-08 |
| 1588673800 | Thomas O Higginbotham | Orthopaedic Surgery | 1300 N 500 E, #130, Logan, UT 84341-2408 | 2006-08-05 |
| 1750348389 | Ramanathan Padmanaban Md Inc | Orthopaedic Surgery | 20 Hospital Dr, Medical Office Bldg Ste 220, Logan, WV 25601 | 2006-04-27 |
| Find all providers in LOGAN | ||||
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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.