Patrick Lavern Holt

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

1-17-010888 M Issued in IA

Practice address

1454 N Federal Ave
Mason City, IA 50401-1268

Phone

(641) 421-8640

Fax

(641) 421-8640

NPI assigned

Jan 20, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390176000000",
    "number": "1336561737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1454 N FEDERAL AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504011268",
            "telephone_number": "641-421-8640",
            "fax_number": "641-421-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1454 N FEDERAL AVE",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504011268",
            "telephone_number": "641-421-8640",
            "fax_number": "641-421-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "PATRICK",
        "middle_name": "LAVERN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-20",
        "last_updated": "2014-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IA",
            "license": "1-17-010888 M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Donovan Hoffman, D.D.S.
• Adam Hoffmann, DO
• Lyell R Hogg, DDS
• James Cedrick Holden III, PA-S
• Lisa Holt, PMHNP-BC
• Ryan Michael Holthaus, M.D.
• Mark I Chieh Hong, M.D
• Tommi Kaye Honken, BA
• Linda A Hopper, RD,CSR,LD
• Hospice of North Iowa (MercyOne North Iowa Hospice)

• Prosthetic/Orthotic Supplier in Mason City, IA
• Providers in Mason City, IA by specialty
• Prosthetic/Orthotic Supplier in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.

Verify at the official NPI Registry.