NPIMap

Individual provider Active NPI

Kary Neil Holt, P.A.-C.

  • Physician Assistant
  • Denton, TX
National Provider Identifier
1255398145
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01661 Issued in TX
Practice address
3535 S I-35 E
Denton, TX 76210-6850
Phone
(940) 384-3500
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01661 TX Primary

Addresses

Primary practice location

3535 S I-35 E
Denton, TX 76210-6850

Mailing address

PO Box 201606
Dallas, TX 75320-1606
Phone (972) 758-3598

Other identifiers 4

IdentifierTypeStateIssuer
284110802MedicaidTX
284110803MedicaidTX
284110801MedicaidTX
P00364152OtherTXRAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060327000719 TX Practitioner - Physician Assistant 0749298156 Reassigns benefits to 8 organizations
I20210413001068 OK Practitioner - Physician Assistant 0749298156 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1076OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Tishomingo, Inc. CurrentSince Apr 19, 2021 Accepting new patients
Nes Oklahoma, Inc. CurrentSince Mar 9, 2023 Accepting new patients
Texas Em-I Medical Services, P.a. Past Accepting new patients
McKinney Emergency Physicians PLLC Past Accepting new patients
Medexpress Urgent Care Texas, P.a. Past Accepting new patients
Plano Emergency Physicians PLLC Physician Assistant Past Accepting new patients
Emcare GLT Emergency Physicians PLLC Past Accepting new patients
Dallas Anesthesiology Associates, PA Past Accepting new patients
Grapevine Emergency Physicians PLLC Physician Assistant Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients

Locations

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

1000 S Byrd St
Tishomingo, OK 73460
Phone (580) 371-2327

Interoperability endpoints

  • Direct secure messaging: kholt220690@cookchildrens.direct-ci.com

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1255398145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201606",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753201606",
            "telephone_number": "972-758-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 S I-35 E",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106850",
            "telephone_number": "940-384-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "KARY",
        "middle_name": "NEIL",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284110802",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284110803",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "284110801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00364152",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.