NPIMap

Organization Active NPI

Marston Shaun Holt MD PA

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Houston, TX
National Provider Identifier
1841513371
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
MARSTON SHAUN HOLT MD PA
Practice address
1045 Gemini St Ste 100
Houston, TX 77058-2806
Phone
(281) 335-1111
Fax
(281) 286-3290
NPI assigned
Mar 11, 2010
Last updated
Sep 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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

Authorized official

Name
Marston Shaun Holt, MDNPI 1275533457
Title
Owner
Phone
(281) 335-1111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X Primary

Addresses

Primary practice location

1045 Gemini St Ste 100
Houston, TX 77058-2806

Mailing address

1045 Gemini St Ste 100
Houston, TX 77058-2806
Phone (281) 335-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110331000482 TX Part B Supplier - Clinic/Group Practice 1456534288 Receives reassigned benefits from 16 practitioners
Practice locations: Houston, TX; Kingwood, TX; Pasadena, TX
O20201021003146 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 1456534288 Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

22999 Highway 59 N
Bldg B
Kingwood, TX 77339
Phone (281) 335-1111

22999 Highway 59 N
Ste B201
Kingwood, TX 77339

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1841513371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 GEMINI ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582806",
            "telephone_number": "281-335-1111",
            "fax_number": "281-286-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 GEMINI ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582806",
            "telephone_number": "281-335-1111",
            "fax_number": "281-286-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSTON SHAUN HOLT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "MARSTON",
        "authorized_official_middle_name": "SHAUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-335-1111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.