Active NPI
William R. Holt Jr., M.D.
- Cardiovascular Disease Physician
- Wilmington, NC
National Provider Identifier
1821082264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 24256
- Practice address
- 1515 Doctors Cir
Hanover Medical Specialists, P.a.
Wilmington, NC 28401-7403 - Phone
- (910) 763-5182
- Fax
- (910) 763-0291
- NPI assigned
- Aug 31, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 24256 | NC | Primary |
Addresses
Primary practice location
1515 Doctors Cir
Hanover Medical Specialists, P.a.
Wilmington, NC 28401-7403
Mailing address
1515 Doctors Cir
Hanover Medical Specialists, P.a.
Wilmington, NC 28401-7403
Phone (910) 763-5182
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8943453 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180228001348 | NC | Order and Referring Only - Cardiovascular Disease (Cardiology) | 6608841028 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24256 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Sciences Foundation Inc. | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Wilmington, NC
- NPI 1942288600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196294400000",
"number": "1821082264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 DOCTORS CIR",
"address_2": "HANOVER MEDICAL SPECIALISTS, P.A.",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017403",
"telephone_number": "910-763-5182",
"fax_number": "910-763-0291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 DOCTORS CIR",
"address_2": "HANOVER MEDICAL SPECIALISTS, P.A.",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017403",
"telephone_number": "910-763-5182",
"fax_number": "910-763-0291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "WILLIAM",
"middle_name": "R.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2007-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "24256",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8943453",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.