RONALD HOLT M.D. NPI 1295718781

NPI Information

NPI: 1295718781
Provider Name: RONALD HOLT, M.D.
Classification: Emergency Medicine - 207PE0004X
Entity Type: Individual

Specialization: Emergency Medical Services

Address:
2800 W 95TH ST
EVERGREEN PARK, IL
ZIP 60805
Phone: (708) 422-4221
Get Directions

Ronald Holt, M.D. is an emergency medical services emergency medicine in Evergreen Park, IL. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. Ronald Holt, M.D. NPI is 1295718781. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2800 W 95TH ST
EVERGREEN PARK, IL
ZIP 60805-746
Phone: (708) 422-4221
Fax: (708) 422-4415

The enumeration date for this NPI number is 11/29/2005 and was last updated on 2/24/2017.

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	207P00000X	Emergency Medicine		036.066295	ILLINOIS	No
2	207PE0004X	Emergency Medicine	Emergency Medical Services	036066295	ILLINOIS	Yes
3	261QM1300X	Clinic/Center	Multi-Specialty	036066295	ILLINOIS	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	036066295	MEDICAID	ILLINOIS
2	C42941	MEDICARE UPIN	ILLINOIS
3	036033295	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD
4	K11399	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS

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: 5/5/2024

NPI Synchronization or Removal

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