Individual provider Active NPI

Edward Lee Holt, D.O.

  • Obstetrics & Gynecology Physician
  • Waxahachie, TX
National Provider Identifier
1881614964
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L8248 Issued in TX
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

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
169073701MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041014001172 TX Practitioner - Obstetrics/Gynecology 4880654797 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8248TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Dec 31, 2025 Accepting new patients
Ellis County Coalition for Health Options CurrentSince Feb 5, 2026 Accepting new patients
Ellis County Coalition for Health Options CurrentSince Feb 5, 2026 Accepting new patients
Edward Lee Holt, DO, P.a. Obstetrics & Gynecology CurrentSince Jul 15, 2004 Accepting new patients
Arlington Physician Services PA Obstetrics & Gynecology CurrentSince Sep 23, 2025 Accepting new patients
Medhealth CurrentSince Dec 31, 2025 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

  • FHIR API: https://api.platform.athenahealth.com/3617/brand/1/csg/1/fhir/r4
  • Direct secure messaging: edward.holt.p1@direct.hopehealthtx.nextgenshare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.