DR. KENNETH A HOLT (NPI# 1356304588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356304588 |
| Entity Type | Individual |
| Full Name | DR. KENNETH A HOLT |
| Credential | M.D. |
| Practice Address |
3320 Executive Dr Ste 222 Raleigh NC 27609-7445 |
| Practice Telephone | 9198771100 |
| Mailing Telephone | 9198771100 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2016-09-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 9901643 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275783417 | Kenneth G Holt | Chiropractor | 3593 Arlington Ave Ste B, Riverside, CA 92506 | 2008-09-24 |
| 1932198108 | Kenneth Murray Holt | Internal Medicine | 23451 Madison St Ste 290, Torrance, CA 90505-4737 | 2005-10-19 |
| 1942820774 | Kenneth Taylor Holt | Student in an Organized Health Care Education/Training Program | 833 Princeton Ave Sw, Birmingham, AL 35211-1323 | 2020-04-22 |
| 1174974117 | Kenneth James Holt | Social Worker | 4269 Pearl Road, Cleveland, OH 44109-3934 | 2016-06-30 |
| Street Address |
3320 EXECUTIVE DR STE 222 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-7445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265438816 | Lori Walker Couch | Optometrist | 3320 Executive Dr, Suite 111, Raleigh, NC 27609-7445 | 2005-06-27 |
| 1699149906 | Mallory Lake | Physician Assistant | 3320 Executive Dr, Suite 214, Raleigh, NC 27609-7445 | 2015-11-24 |
| 1689912792 | Metro Internal Medicine P.a. | Clinic/Center | 3320 Executive Dr, Ste. 222, Raleigh, NC 27609-7445 | 2013-01-24 |
| 1922390913 | Orthopaedic Specialists of North Carolina, P.a. | Orthopaedic Surgery | 3320 Executive Dr, Suite 218, Raleigh, NC 27609-7445 | 2011-05-09 |
| 1396047536 | Tanya Ann Mariie Meikle | Physical Therapist | 3320 Executive Dr, Suite 210, Raleigh, NC 27609-7445 | 2010-11-19 |
| 1609005461 | Anita Prakash Vin-parikh | Ophthalmology | 3320 Executive Dr, Raleigh, NC 27609-7445 | 2009-07-14 |
| 1891929618 | James Anthony Wrzosek | Internal Medicine | 3320 Executive Dr, Suite 111, Raleigh, NC 27609-7445 | 2009-05-07 |
| 1093831570 | Pamela J. Whitney, M.d, P.a. | Specialist | 3320 Executive Dr, Suite 218, Raleigh, NC 27609-7445 | 2007-03-22 |
| 1881724334 | Assad Meymandi | Specialist | 3320 Executive Dr, Suite 218, Raleigh, NC 27609-7445 | 2007-03-06 |
| 1336276427 | Alice Angela Lin | Ophthalmology | 3320 Executive Dr, Suite 111, Raleigh, NC 27609-7445 | 2007-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921874 | Wake Specialty Phisicians, LLC | Internal Medicine | 601 Oberlin Rd, Raleigh, NC 27605-1126 | 2020-08-06 |
| 1255825840 | Frederick Joseph Derosier | Internal Medicine | 1065 Tacketts Pond Dr, Raleigh, NC 27614-7887 | 2018-06-18 |
| 1023518412 | Neijia Grissom | Internal Medicine | 3214 Charles B Root Wynd Ste 213, Raleigh, NC 27612-5440 | 2018-02-13 |
| 1326406703 | Andrew Ubert Schindzielorz | Internal Medicine | 5300 Huntingwood Dr, Raleigh, NC 27606-9642 | 2016-02-01 |
| 1841680220 | Oswald H Ganley | Internal Medicine | 1251 Goode St, The Healing Place of Wake County, Raleigh, NC 27603 | 2015-01-23 |
| 1659775831 | Caremore Health Nc, PC | Internal Medicine | 1100 N Raleigh Blvd, Raleigh, NC 27610-1076 | 2014-10-16 |
| 1295147577 | Courtney Barrett | Internal Medicine | 6729 Falls of Neuse Rd Ste 100, Raleigh, NC 27615-5383 | 2014-05-21 |
| 1821357815 | Vanitha Gopal | Internal Medicine | 370 Allister Dr Unit 406, Raleigh, NC 27609-7269 | 2012-05-10 |
| 1093072498 | The Carter Clinic,pa | Internal Medicine | 183 Wind Chime Ct Ste 100, Raleigh, NC 27615-6574 | 2012-04-23 |
| 1497025076 | George Stueard Nettles Sr. | Internal Medicine | 11192 Bayberry Hills Dr, Raleigh, NC 27617-7908 | 2012-01-12 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.