DOUGLAS HOLT M.D. NPI 1417310046

NPI Information

NPI: 1417310046
Provider Name: DOUGLAS HOLT, M.D.
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

PECOS Registration: Yes

Address:
1250 E 3900 S STE B10
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 456-8401
Get Directions

Douglas Holt, M.D. is a radiation oncology radiology in Salt Lake City, UT with 8 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Douglas Holt, M.D. NPI is 1417310046. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduation Year:2016

The provider's business location address is:

1250 E 3900 S STE B10
SALT LAKE CITY, UT
ZIP 84124-348
Phone: (801) 456-8401

The NPI 1417310046 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/31/2016 and was last updated on 2/16/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	12250382-1205	UTAH	Yes
2	2085R0001X	Radiology	Radiation Oncology	13723A	WYOMING	No
3	2085R0001X	Radiology	Radiation Oncology	M-15792	IDAHO	No
4	390200000X	Student in an Organized Health Care Education/Training Program			UTAH	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	12250382-1205	OTHER	UTAH	UT MD LICENSE
2	13723A	OTHER	WYOMING	WY MD LICENSE
3	M-15792	OTHER	IDAHO	ID MD LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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