Robert Gary Holt, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

34604 Issued in IA

Practice address

1813 W Harvard Ave
Roseburg, OR 97471-2752

Phone

(541) 673-4303

Fax

(541) 440-9739

NPI assigned

May 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Roseburg Radiologists P C

  • Diagnostic Radiology Physician
  • Roseburg, OR
  • NPI 1700876117
  NPD (past)
• Iowa Radiology, P C

  • Diagnostic Radiology Physician
  • Clive, IA
  • NPI 1336107283
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243555200000",
    "number": "1700843992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1547",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974700361",
            "telephone_number": "541-673-4303",
            "fax_number": "541-440-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 W HARVARD AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712752",
            "telephone_number": "541-673-4303",
            "fax_number": "541-440-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "ROBERT",
        "middle_name": "GARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2009-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "34604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278529",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William T. Hollander, M.D.
• Jeremy C Hollingsead, FNP
• Holmes Family Practice, PC
• Barbara J. Holmes, RN
• Jeremy D Holst
• Home Town Drugs of Roseburg Inc
• Home Town Drugs of Roseburg Inc
• Mae L Hoopes
• Shawn Marie Hopfer, CHW
• Chelsea Justine Hopkins, PCA

• Diagnostic Radiology Physician in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Diagnostic Radiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; 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.