Individual provider Active NPI

Mark A Holt, M.D.

  • Orthopaedic Surgery Physician
  • Logan, OH
National Provider Identifier
1962498089
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35057635 Issued in OH
Practice address
601 State Route 664 N
Logan, OH 43138-8541
Phone
(740) 380-8140
Fax
(740) 380-8150
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35057635 OH Primary

Addresses

Primary practice location

601 State Route 664 N
Logan, OH 43138-8541

Mailing address

PO Box 228
Logan, OH 43138-0228
Phone (740) 380-4181

Other identifiers 1

IdentifierTypeStateIssuer
0929777MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mholt608361@direct.osumc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20080103000440 OH Practitioner - Orthopedic Surgery 0042243164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Cincinnati College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hocking Valley Medical Group, Inc. 21 clinicians

Practice addresses (Care Compare)

541 State Route 664 N
Logan, OH 43138-8541
Phone (740) 380-8350

601 State Route 664 N
Logan, OH 43138-8541
Phone (740) 380-8129

819 State Route 664 N
Logan, OH 43138-8540
Phone (740) 380-8140

Hospital & facility affiliations

  • Hocking Valley Community Hospital Hospital, Logan, OH, CCN 361330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35057635OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hocking Valley Medical Group, Inc. Orthopaedic Surgery CurrentSince Apr 3, 2017 Accepting new patients
Hocking Valley Medical Group Transportation CurrentSince Apr 3, 2017 Accepting new patients
Hocking Valley Community Hospital Current Accepting new patients
Orthopedic Specialists & Sports Medicine, Inc. Past Accepting new patients

Locations

601 State Route 664 N
Logan, OH 43138
Phone (740) 380-8000

819 State Route 664 N
Ste B
Logan, OH 43138
Phone (740) 380-8140

819 State Route 664 N
Logan, OH 43138
Phone (740) 380-8140

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1962498089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 228",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431380228",
            "telephone_number": "740-380-4181",
            "fax_number": "740-385-0865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 STATE ROUTE 664 N",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431388541",
            "telephone_number": "740-380-8140",
            "fax_number": "740-380-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35057635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0929777",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mholt608361@direct.osumc.edu",
            "affiliation": "N",
            "endpointDescription": "Hocking Valley Medical Group, Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "819 State Route 664 N",
            "city": "Logan",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431388540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Logan, OH

Sources for this page

Verify at the official NPI Registry.