Charles E Holt, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1788691204 Issued in UT

Practice address

280 N Main St
Tooele, UT 84074-1650

Phone

(435) 882-8610

Fax

(435) 882-0186

NPI assigned

Sep 21, 2006

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

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

90.71 of 100Reported as group

Quality

91.38

Promoting interoperability

100

Improvement activities

40

Cost

77.67

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darin Thomas Smith, P.A.-C.

  • Physician Assistant
  • Tooele, UT
  • NPI 1538375415
  Medicare reassignment

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.

• Tooele Clinic Corp

  • Family Medicine Physician
  • Tooele, UT
  • NPI 1073512364
  Medicare reassignment NPD

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1689772519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 NORTH MAIN",
            "address_2": "PO BOX 88",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840740088",
            "telephone_number": "435-882-8610",
            "fax_number": "435-882-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N MAIN ST",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840741650",
            "telephone_number": "435-882-8610",
            "fax_number": "435-882-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "CHARLES",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "1788691204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anfernee Hill, CPSS, CCM
• Archer Hill
• Cristy Hill
• Wendy Hill, OTR/L
• Jennilyn Hitesman, M.ED, BCBA
• Michael Holt, PHARMD
• Rebecca Holt
• Stephanie Holt, PHARMD
• Holt'S Pharmacy
• Holts Pharmacy PC

• Family Medicine Physician in Tooele, UT
• Providers in Tooele, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.

Verify at the official NPI Registry.