Paige C. Holt

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

036116185 Issued in IL

Legal business name

PAIGE C. HOLT

Practice address

2502 E Empire St
Ste C
Bloomington, IL 61704-3738

Phone

(310) 664-4444

Fax

(309) 664-5006

NPI assigned

Jul 31, 2013

Organization subpart

No

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

Authorized official

Name

Paige C. Holt, MDNPI 1821026519

Title

Physician

Phone

(309) 664-4444

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paige C. Holt, MD

  • Plastic Surgery Physician
  • Bloomington, IL
  • NPI 1821026519
  Authorized official Same address or phone

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1699107797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 E EMPIRE ST",
            "address_2": "STE C",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617043738",
            "telephone_number": "310-664-4444",
            "fax_number": "309-664-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 E EMPIRE ST",
            "address_2": "STE C",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617043738",
            "telephone_number": "310-664-4444",
            "fax_number": "309-664-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIGE C. HOLT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "309-664-4444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "IL",
            "license": "036116185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelina C Owens
• Caroline Owens, DMD
• Pacalo LLC
• Jacob Bradley Page, A.C.N.P.
• Paige C Holt, MD, LTD
• Andrea Palmer, OTD
• N'Dia Palmore
• Janell Kay Park, APRN, FNP
• Meghan Park, PT, DPT
• Michele Kay Park

• Plastic Surgery Physician in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Plastic Surgery Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; 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.