Active NPI
Stephen D Holt, M.D.
- Rheumatology Physician
- Fort Collins, CO
National Provider Identifier
1184652547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- R2778
- Practice address
- 2121 E Harmony Rd
Suite 360
Fort Collins, CO 80528-3400 - Phone
- (970) 267-9799
- Fax
- (970) 267-9559
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | R2778 | AR | Primary |
Addresses
Primary practice location
2121 E Harmony Rd
Suite 360
Fort Collins, CO 80528-3400
Mailing address
2121 E Harmony Rd
Suite 360
Fort Collins, CO 80528-3400
Phone (970) 267-9799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104770001 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R2778 | AR | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apollo Health, LLC | Current | Accepting new patients | |
| Little Rock Diagnostic Clinic PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Little Rock, AR
- NPI 1003425703
-
- Ambulatory Surgical Clinic/Center
- Little Rock, AR
- NPI 1760418891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403654400000",
"number": "1184652547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 E HARMONY RD",
"address_2": "SUITE 360",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805283400",
"telephone_number": "970-267-9799",
"fax_number": "970-267-9559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 E HARMONY RD",
"address_2": "SUITE 360",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805283400",
"telephone_number": "970-267-9799",
"fax_number": "970-267-9559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "STEPHEN",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2014-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "AR",
"license": "R2778",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104770001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.