Organization Active NPI

Edward Lee Holt, DO, P.a.

  • Obstetrics & Gynecology Physician
  • Waxahachie, TX
National Provider Identifier
1194009357
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L8248 Issued in TX
Legal business name
EDWARD LEE HOLT, DO, P.A.
Practice address
1795 N. Highway 77
Suite 103
Waxahachie, TX 75165-7812
Phone
(972) 937-1588
Fax
(972) 937-1274
NPI assigned
Oct 6, 2011
Last updated
Jan 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Edward Lee Holt, DONPI 1881614964
Title
Owner
Phone
(972) 937-1588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L8248 TX Primary

Addresses

Primary practice location

1795 N. Highway 77
Suite 103
Waxahachie, TX 75165-7812

Mailing address

1795 N. Highway 77
Suite 103
Waxahachie, TX 75165-7812
Phone (972) 937-1588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041014001155 TX Part B Supplier - Clinic/Group Practice 7618937525 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Waxahachie, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2203 W Lampasas St
Ste 210
Ennis, TX 75119
Phone (972) 875-2112

2 Saint Marks Pl
Ste 140
La Grange, TX 78945
Phone (512) 643-4384

1795 N Highway 77
Ste 103
Waxahachie, TX 75165
Phone (972) 937-1588

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3617/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610409600000",
    "number": "1194009357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 N. HIGHWAY 77",
            "address_2": "SUITE 103",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751657812",
            "telephone_number": "972-937-1588",
            "fax_number": "972-937-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 N. HIGHWAY 77",
            "address_2": "SUITE 103",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751657812",
            "telephone_number": "972-937-1588",
            "fax_number": "972-937-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD LEE HOLT, DO, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-937-1588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L8248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.