Neal Ross Holtan, MD

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

21942 Issued in MN

Practice address

500 E Grant St
Apartment 2310
Minneapolis, MN 55404-1421

Phone

(612) 375-0323

Fax

(612) 317-0713

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Center for Victims of Torture

  • Community/Behavioral Health Agency
  • Saint Paul, MN
  • NPI 1124111729
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1881782712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E GRANT ST",
            "address_2": "APARTMENT 2310",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041421",
            "telephone_number": "612-375-0323",
            "fax_number": "612-317-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E GRANT ST",
            "address_2": "APARTMENT 2310",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041421",
            "telephone_number": "612-375-0323",
            "fax_number": "612-317-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTAN",
        "first_name": "NEAL",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MN",
            "license": "21942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "21942",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Elissa Holt, PSYD
• Lisa Holt, MSW INTERN
• Haley Suzanne Holtan, PHARMD
• James Raymond Holtan
• Mark P Holtan, PHARMD
• Shernan G Holtan, M.D.
• Anna Karel Holten, MD
• Samuel Britten Holten, DO
• Eric James Holthaus
• Nathan Holthaus

• Public Health & General Preventive Medicine Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Public Health & General Preventive Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.