Active NPI
Sean Charles Holt, PA-C
- Physician Assistant
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA06404
- Practice address
- 5201 Harry Hines Blvd - Surgical Services
Dallas, TX 75266-0599 - Phone
- (214) 590-8640
- NPI assigned
- Jul 8, 2008
- Last updated
- Jul 19, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA06404 | TX | Primary |
| Surgical Physician Assistant | 363AS0400X | NU |
Addresses
Primary practice location
5201 Harry Hines Blvd - Surgical Services
Dallas, TX 75266-0599
Mailing address
5201 Harry Hines Blvd
Dallas, TX 75235-7708
Phone (214) 590-8640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2014 W University Dr
Suite 330
McKinney, TX 75071-2228
Phone (972) 645-5107
234 W Campbell Rd
Richardson, TX 75080-3512
Phone (972) 474-3221
6150 Eldorado Pkwy
Suite 140
McKinney, TX 75070-5702
Phone (972) 645-2077
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WLS Surgical Associates PA | Past | Accepting new patients | |
| Dallas County Hospital District | Past | Accepting new patients | |
| Vickery Health Center | Past | Accepting new patients |
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Total Behavioral Health
- Family Medicine Physician
- Austin, TX
- NPI 1982031852
-
- Primary Care Clinic/Center
- Allen, TX
- NPI 1487205902
-
- Orthopaedic Surgery Physician
- Plano, TX
- NPI 1184285116
-
dba CV Roman Women's Health Center
- Women's Health Nurse Practitioner
- Dallas, TX
- NPI 1558035188
-
- Psychologist
- Dallas, TX
- NPI 1831166446
-
- Specialist
- Dallas, TX
- NPI 1316167851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1265695332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357708",
"telephone_number": "214-590-8640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 HARRY HINES BLVD - SURGICAL SERVICES",
"city": "DALLAS",
"state": "TX",
"postal_code": "752660599",
"telephone_number": "214-590-8640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "SEAN",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-08",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA06404",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.