Active NPI
Edward Lee Holt, D.O.
- Obstetrics & Gynecology Physician
- Waxahachie, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- L8248
- Practice address
- 1795 N Highway 77 Ste 103
Waxahachie, TX 75165-7876 - Phone
- (972) 937-1588
- Fax
- (972) 937-1274
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | L8248 | TX | Primary |
Addresses
Primary practice location
1795 N Highway 77 Ste 103
Waxahachie, TX 75165-7876
Mailing address
1795 N Highway 77 Ste 103
Waxahachie, TX 75165-7876
Phone (972) 937-1588
Other practice location 1
2203 W Lampasas St
Suite 210
Ennis, TX 75119-5644
Phone (972) 875-2112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 169073701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L8248 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medhealth | Current | Accepting new patients | |
| Ellis County Coalition for Health Options | Current | Accepting new patients | |
| Ellis County Coalition for Health Options | Current | Accepting new patients | |
| Edward Lee Holt, DO, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Arlington Physician Services PA | Obstetrics & Gynecology | Current | Accepting new patients |
| Medhealth | Current | Accepting new patients | |
| Brenham Orhopaedics and Sports Medicine Associates, LLP | Past | Accepting new patients | |
| Baylor Medical Center at Waxahachie | Past | Accepting new patients | |
| Advanced Pain & Rehabilitation Association PLLC | Past | Accepting new patients |
Locations
3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950
2203 W Lampasas St
Ste 210
Ennis, TX 75119
Phone (972) 875-2112
5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691
2 Saint Marks Pl
Ste 140
La Grange, TX 78945
Phone (512) 643-4384
2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000
1201 E Highway 287
Midlothian, TX 76065
Phone (469) 695-2065
572 Coleman St
Waxahachie, TX 75165
Phone (972) 923-2440
1795 N Highway 77
Ste 103
Waxahachie, TX 75165
Phone (972) 937-1588
613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700
Interoperability endpoints
- https://api.platform.athenahealth.com/3617/brand/1/csg/1/fhir/r4
- edward.holt.p1@direct.hopehealthtx.nextgenshare.com
- edward.holt.1@3617.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Waxahachie, TX
- NPI 1194009357
-
- Obstetrics & Gynecology Physician
- Mansfield, TX
- NPI 1093144610
-
- Federally Qualified Health Center (FQHC)
- Waxahachie, TX
- NPI 1326236464
-
- Family Medicine Physician
- Dallas, TX
- NPI 1912957200
-
- Federally Qualified Health Center (FQHC)
- Ennis, TX
- NPI 1073970141
-
- Urgent Care Clinic/Center
- Grand Prairie, TX
- NPI 1558762690
-
- Physical Medicine & Rehabilitation Physician
- Wylie, TX
- NPI 1215404637
-
- General Acute Care Hospital
- Waxahachie, TX
- NPI 1265430177
-
- Specialist
- Brenham, TX
- NPI 1982637690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1881614964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1795 N HIGHWAY 77 STE 103",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751657876",
"telephone_number": "972-937-1588",
"fax_number": "972-937-1274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1795 N HIGHWAY 77 STE 103",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751657876",
"telephone_number": "972-937-1588",
"fax_number": "972-937-1274"
}
],
"practiceLocations": [
{
"address_1": "2203 W Lampasas St",
"address_2": "Suite 210",
"address_purpose": "LOCATION",
"city": "Ennis",
"state": "TX",
"postal_code": "751195644",
"country_code": "US",
"telephone_number": "972-875-2112",
"fax_number": "972-875-6112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLT",
"first_name": "EDWARD",
"middle_name": "LEE",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "L8248",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "169073701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waxahachie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.