NPIMap

Individual provider Active NPI

Blair T Holder, MD

  • Gastroenterology Physician
  • Dover, OH
National Provider Identifier
1821024720
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
55408 Issued in OH
Practice address
300 Medical Park Dr
Suite 205
Dover, OH 44622-2073
Phone
(330) 364-4600
Fax
(330) 364-3338
NPI assigned
Jun 23, 2006
Last updated
Feb 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 55408 OH Primary

Addresses

Primary practice location

300 Medical Park Dr
Suite 205
Dover, OH 44622-2073

Mailing address

300 Medical Park Dr
Suite 205
Dover, OH 44622-2073
Phone (330) 364-4600

Other identifiers 1

IdentifierTypeStateIssuer
0667569MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100709000581 OH Practitioner - Internal Medicine 3678605615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Union Hospital AssociationGroup PAC ID 0648177725, 16 clinicians

Practice addresses (Care Compare)

110 Dublin Dr
Suite B
Dover, OH 44622-7805
Phone (330) 343-0753

659 Boulevard St
Dover, OH 44622-2026
Phone (330) 343-3311

659 Boulevard St
Dover, OH 44622-2077

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.97 of 100Reported as group
Quality
53.19
Improvement activities
40
Cost
86.77

Merit-based Incentive Payment System (MIPS)

Final score
82.39 of 100Reported as group
Quality
68.19
Promoting interoperability
83
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy49
Upper gastrointestinal (GI) endoscopy for acid reflux58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
55408OHMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Union Hospital Association CurrentSince Oct 15, 2001 Accepting new patients
RC Hastedt MD Inc Current Accepting new patients
Community Pathologists Inc Current Accepting new patients
Health Professionals of Holmes County, Inc CurrentSince Jul 22, 2023 Accepting new patients
Barrett Pain Associates, Inc CurrentSince Jan 1, 2019 Accepting new patients
The Union Hospital Association CurrentSince Oct 15, 2001 Accepting new patients
Anesthesia Care of Union Hospital, Inc. PastSince Aug 1, 2005 Accepting new patients
Health Professionals of Holmes County, Inc Past Accepting new patients

Locations

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

844 Boulevard St
Dover, OH 44622
Phone (330) 473-6615

1261 Wooster Rd
Ste 200
Millersburg, OH 44654
Phone (330) 674-2822

981 Wooster Rd
Millersburg, OH 44654
Phone (330) 674-1015

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1821024720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PARK DR",
            "address_2": "SUITE 205",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222073",
            "telephone_number": "330-364-4600",
            "fax_number": "330-364-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PARK DR",
            "address_2": "SUITE 205",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222073",
            "telephone_number": "330-364-4600",
            "fax_number": "330-364-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "BLAIR",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "55408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0667569",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

Verify at the official NPI Registry.