NPIMap

Individual provider Active NPI

Daniel Lee Holt, M.D.

  • Family Medicine Physician
  • Washington, PA
National Provider Identifier
1922003375
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD 047545 L Issued in PA
Practice address
181 W Beau St
Washington, PA 15301-4401
Phone
(724) 223-1067
Fax
(724) 223-1088
NPI assigned
Jun 14, 2005
Last updated
Apr 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD 047545 L PA Primary

Addresses

Primary practice location

181 W Beau St
Washington, PA 15301-4401

Mailing address

1070 Old National Pike
Fredericktown, PA 15333-2114
Phone (724) 632-6801

Other identifiers 2

IdentifierTypeStateIssuer
0014470300013MedicaidPA
1007288440035MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060811000138 PA Practitioner - Family Practice 1456354430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pennsylvania State University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerville Clinics, Inc.Group PAC ID 7214837202, 44 clinicians

Practice addresses (Care Compare)

1070 Old National Pike
Podiatry
Fredericktown, PA 15333-2114
Phone (724) 632-6801

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 047545 LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centerville Clinics, Inc. Family Medicine CurrentSince May 16, 2006 Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics, Inc. Current Accepting new patients
Centerville Clinics,Inc. Family Medicine Past Accepting new patients
Emergency Medicine Associates PC Past Accepting new patients

Locations

1070 Old National Pike
Fredericktown, PA 15333

37 Highland Ave
Washington, PA 15301
Phone (724) 223-1067

Interoperability endpoints

  • Direct secure messaging: daniel.holt.1@33484.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 21

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Centerville Clinics, Inc.Charleroi, PA, CCN 391933 Federally qualified health center W-2 Managing Employee Jan 1, 2011
Centerville Clinics, Inc.Republic, PA, CCN 391807 Federally qualified health center W-2 Managing Employee Jan 1, 2011
Centerville Clinics, Inc.Fairchance, PA, CCN 391860 Federally qualified health center Corporate Director May 1, 2015
Centerville Clinics, Inc.Uniontown, PA, CCN 391893 Federally qualified health center Corporate Director Jan 1, 2011
Centerville Clinics, Inc.Connellsville, PA, CCN 391911 Federally qualified health center Corporate Director Jan 1, 2011
Centerville Clinics, Inc.Carmichaels, PA, CCN 391828 Federally qualified health center W-2 Managing Employee Jan 1, 2011
Centerville Clinics, Inc.Washington, PA, CCN 391902 Federally qualified health center Corporate Director Oct 25, 2014
Centerville Clinics, Inc.Bentleyville, PA, CCN 391827 Federally qualified health center Corporate Director Jan 1, 2011
Centerville Clinics, Inc.Waynesburg, PA, CCN 391811 Federally qualified health center Corporate Director Jan 1, 2011
Centerville Clinics, Inc.California, PA, CCN 391809 Federally qualified health center Contracted Managing Employee Jan 1, 2011
Centerville Clinics, Inc.Fredericktown, PA, CCN 391812 Federally qualified health center W-2 Managing Employee Jan 1, 2011
Centerville Clinics, Inc.Waynesburg, PA, CCN 391829 Federally qualified health center Corporate Director Jan 1, 2011
Centerville Clinics, Inc.Donora, PA, CCN 391194 Federally qualified health center W-2 Managing Employee Jan 1, 2011
Centerville Clinics, Inc.Washington, PA, CCN 731801 Federally qualified health center W-2 Managing Employee Jan 1, 2011
Centerville Clinics, Inc.Bobtown, PA, CCN 731802 Federally qualified health center W-2 Managing Employee Jan 1, 2011
Centerville Clinics, Inc.Bentleyville, PA, CCN 731818 Federally qualified health center W-2 Managing Employee Jan 1, 2011
Centerville Clinics, Inc.Washington, PA, CCN 731854 Federally qualified health center W-2 Managing Employee Jan 1, 2011
Centerville Clinics, Inc.Fredericktown, PA, CCN 731834 Federally qualified health center W-2 Managing Employee Jan 1, 2011
Centerville Clinics, Inc.Bentleyville, PA, CCN 731848 Federally qualified health center W-2 Managing Employee Jan 1, 2011
Centerville Clinics, Inc.Coal Center, PA, CCN 731847 Federally qualified health center W-2 Managing Employee Jan 1, 2011
Centerville Clinics, Inc.Fredericktown, PA, CCN 731938 Federally qualified health center W-2 Managing Employee Jan 1, 2011

Owned or controlled facilities with NPI records 21

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 21

Organizations & group practices 6

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1922003375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 OLD NATIONAL PIKE",
            "city": "FREDERICKTOWN",
            "state": "PA",
            "postal_code": "153332114",
            "telephone_number": "724-632-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W BEAU ST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014401",
            "telephone_number": "724-223-1067",
            "fax_number": "724-223-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "DANIEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD 047545 L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014470300013",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007288440035",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.