Organization Active NPI

Eric Edward Holt, MD

  • Nephrology Physician
  • Many, LA
National Provider Identifier
1982196044
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD.015961 Issued in LA
Legal business name
ERIC EDWARD HOLT, MD
Practice address
240 Highland Dr
Many, LA 71449-3718
Phone
(318) 645-6161
Fax
(318) 645-6168
NPI assigned
Jun 5, 2018
Last updated
Jun 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Authorized official

Name
Eric Edward Holt, MD
Title
MD
Phone
(504) 644-8030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD.015961 LA Primary

Addresses

Primary practice location

240 Highland Dr
Many, LA 71449-3718

Mailing address

PO Box 52244
Shreveport, LA 71135-2244
Phone (318) 798-4539

Other identifiers 1

IdentifierTypeStateIssuer
1385069MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1982196044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52244",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711352244",
            "telephone_number": "318-798-4539",
            "fax_number": "318-798-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HIGHLAND DR",
            "city": "MANY",
            "state": "LA",
            "postal_code": "714493718",
            "telephone_number": "318-645-6161",
            "fax_number": "318-645-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC EDWARD HOLT, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "504-644-8030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "MD.015961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1385069",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Many, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.