Active NPI
Edward S Holt, MD
- Orthopaedic Foot and Ankle Surgery Physician
- Annapolis, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- D30372
- Practice address
- 2000 Medical Pkwy
Suite 101
Annapolis, MD 21401-3742 - Phone
- (410) 268-8862
- Fax
- (410) 280-4701
- NPI assigned
- May 27, 2005
- 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 |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | D30372 | MD | Primary |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | D30372 | MD |
Addresses
Primary practice location
2000 Medical Pkwy
Suite 101
Annapolis, MD 21401-3742
Mailing address
201 Defense Hwy
Ste 100
Annapolis, MD 21401-8902
Phone (667) 204-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luminis Health Medical Group, LLC | Current | Accepting new patients |
Locations
2000 Medical Pkwy
Ste 101
Annapolis, MD 21401
Phone (410) 295-8900
4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190
15500 Annapolis Rd
Ste 102
Bowie, MD 20715
Phone (301) 805-0190
8638 Veterans Hwy
Millersville, MD 21108
Phone (410) 729-4508
Interoperability endpoints
- eholt4624@direct.aahs.org
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Annapolis, MD
- NPI 1780824615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1669475216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 DEFENSE HWY",
"address_2": "STE 100",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214018902",
"telephone_number": "667-204-7000",
"fax_number": "443-481-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 MEDICAL PKWY",
"address_2": "SUITE 101",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013742",
"telephone_number": "410-268-8862",
"fax_number": "410-280-4701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "EDWARD",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "MD",
"license": "D30372",
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "MD",
"license": "D30372",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.