Active NPI
Terry Don Holt, MD
- Family Medicine Physician
- Central City, KY
National Provider Identifier
1639152234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 44957
- Practice address
- 101 Legion Dr
Central City, KY 42330-1496 - Phone
- (270) 757-0014
- Fax
- (270) 757-0015
- NPI assigned
- Nov 29, 2005
- Last updated
- Mar 9, 2015
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME72495 | FL | |
| Family Medicine Physician | 207Q00000X | 44957 | KY | Primary |
Addresses
Primary practice location
101 Legion Dr
Central City, KY 42330-1496
Mailing address
PO Box 111
Central City, KY 42330-0111
Phone (270) 757-0014
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29507 | Other | FL | BLUE CROSS PROVIDER # |
| 7100209090 | Medicaid | KY |
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 |
|---|---|---|---|
| 21528 | OK | MD | Clinical Social Worker |
| 44957 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Services Inc. | Past | Accepting new patients | |
| Integris Ambulatory Care C Orporation | Family Medicine | Past | Accepting new patients |
| Solantic LLC | Past | Accepting new patients |
Organizations & group practices 3
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 ProHealth Physicians
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1326076027
-
dba Mercy After Hours
- Medical Specialty Clinic/Center
- Yukon, OK
- NPI 1255398251
-
- Urgent Care Clinic/Center
- Jacksonville, FL
- NPI 1609822592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425859200000",
"number": "1639152234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 111",
"city": "CENTRAL CITY",
"state": "KY",
"postal_code": "423300111",
"telephone_number": "270-757-0014",
"fax_number": "270-757-0015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 LEGION DR",
"city": "CENTRAL CITY",
"state": "KY",
"postal_code": "423301496",
"telephone_number": "270-757-0014",
"fax_number": "270-757-0015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "TERRY",
"middle_name": "DON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2015-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME72495",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "44957",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER #",
"identifier": "29507",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100209090",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Central City, KY
- Darren Shane Fogle, RPH
- Elizabeth Ann Gentry, RPH
- John S Gentry, PHARM.D.
- James Randall Gibson, HIS
- Barry G Hardison, MD, FASAM
- Home Dialysis of Muhlenberg County, Inc. (Dialysis Specialists of Central City)
- Shirley Brewer Hunt, DMD
- James S. Brashear MD, PSC
- Gerald Wayne Joines II, DC
- Rebecca Hinrichs Keith, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.