JEFFREY RANDALL HOLT (NPI# 1700090826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700090826 |
| Entity Type | Individual |
| Full Name | JEFFREY RANDALL HOLT |
| Credential | MD |
| Practice Address |
1308 South Highway 16 Fredericksburg TX 78624-5058 |
| Practice Telephone | 8309972181 |
| Practice Fax Number | 8309979598 |
| Mailing Telephone | 8309972181 |
| Mailing Fax Number | 8309979598 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2011-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M6197 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891818456 | Jeffrey D. Holt | Dentist | 4112 N Josey Ln Ste 128, Carrollton, TX 75007-1529 | 2007-04-09 |
| 1265451843 | Jeffrey Edward Holt | Counselor | 4010 Washington, Suite 505, Kansas City, MO 64111 | 2006-07-18 |
| 1447289061 | Jeffrey W Holt | Chiropractor | 103 East Main St, Mountain View, AR 72560 | 2006-07-03 |
| 1275031346 | Jeffrey Holt | Behavior Technician | 416 Auburn Folsom Rd, Auburn, CA 95603-5515 | 2018-01-24 |
| 1023495157 | Jeffrey Holt | Dentist | 9760 Grant St Ste 100, Thornton, CO 80229-2178 | 2015-04-27 |
| 1326364456 | Jeffrey Graham Holt | Ophthalmology | 211 Mcauley Ct, Hot Springs, AR 71913-6314 | 2010-04-14 |
| 1184711137 | Jeffrey Holt | Pathology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-10-09 |
| 1861402778 | Jeffrey Wayne Holt | Internal Medicine | 2727 Hearne Ave, Suite 300, Shreveport, LA 71103-3917 | 2006-08-09 |
| Street Address |
1308 SOUTH HIGHWAY 16 |
| City | FREDERICKSBURG |
| State | TX |
| Zip Code | 78624-5058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356348288 | Rebecca Wendall Daley | Family Medicine | 1308 South Highway 16, Fredericksburg, TX 78624-5058 | 2005-07-07 |
| 1033366109 | Emily J Evans | Nurse Practitioner | 1308 South Highway 16, Fredericksburg, TX 78624-5058 | 2008-08-20 |
| 1902967128 | Ottis L Layne Jr. | Emergency Medicine | 1308 South Highway 16, Fredericksburg, TX 78624-5058 | 2006-12-12 |
| 1194746685 | Jennifer Kate Mayben | Internal Medicine | 1308 South Highway 16, Fredericksburg, TX 78624-5058 | 2006-07-21 |
| 1790704963 | Loretta Keese | Physician Assistant | 1308 South Highway 16, Fredericksburg, TX 78624-5058 | 2006-07-19 |
| 1033145545 | Fredericksburg Clinic, Pllc | Internal Medicine | 1308 South Highway 16, Fredericksburg, TX 78624-5058 | 2006-06-25 |
| 1386688810 | Philip J Maple | Internal Medicine | 1308 South Highway 16, Fredericksburg, TX 78624-5058 | 2006-06-15 |
| 1306880794 | Charles E Burg | Family Medicine | 1308 South Highway 16, Fredericksburg, TX 78624-5058 | 2006-06-15 |
| 1780624502 | John Radcliffe Kothmann | Family Medicine | 1308 South Highway 16, Fredericksburg, TX 78624-5058 | 2006-06-08 |
| 1811937303 | Leo C Tynan | Internal Medicine | 1308 South Highway 16, Fredericksburg, TX 78624-5058 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992357669 | Cynthia Hui Kim | Registered Nurse | 1020 S State, Tx-16, Fredericksburg, TX 78624 | 2019-07-12 |
| 1023515533 | Fredericksburg Eye Associates, Pllc | Ophthalmology | 755 S. Washington St., Fredericksburg, TX 78624 | 2018-04-11 |
| 1922503358 | Ave Maria Hospice of Fredericksburg, LLC | Hospice Care, Community Based | 204 S. Adams St. #a, Fredericksburg, TX 78624 | 2018-03-27 |
| 1225568546 | David Ronald Rickerhauser | Counselor | 400 Prairie View Trail, Fredericksurg, TX 78624 | 2017-06-19 |
| 1144629734 | Amy Taylor | Nurse Practitioner | 1020 Hwy 16, Fredericksburg, TX 78624 | 2014-08-19 |
| 1578836532 | James W. Harrington Jr. | Otolaryngology | 644 Red Oak Lane, Fredericksburg, TX 78624 | 2012-02-21 |
| 1366676447 | Pamela Elaine Hansen | Counselor | 607 Pesimmon Ct., Fredericksburg, TX 78624 | 2009-05-05 |
| 1457526048 | Celine Bicquart Ord | Radiology | 753 S Washington St Bldg D, Fredericksburg, TX 78624 | 2008-04-24 |
| 1669669024 | Rebecca S Prescott | Dentist | 408 N Milam St, Fredericksburg, TX 78624 | 2007-10-01 |
| 1407046626 | Charles Richard Massey Jr. | General Practice | 103 Goehmann Lane, Fredericksburg, TX 78624 | 2007-07-25 |
| Find all providers in zip 78624 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1477905784 | Metropolitan Health Care Providers, Inc | Family Medicine | 12702 Maxwell Ct, Fredericksburg, VA 22407-2272 | 2016-07-11 |
| 1497106504 | Centercare Family Practice, LLC | Family Medicine | 2565 Cowan Blvd, Fredericksburg, VA 22401-8440 | 2016-06-29 |
| 1477933851 | Hill Country Integrative Medicine | Family Medicine | 1603 E Main St Unit A, Fredericksburg, TX 78624-5450 | 2015-06-01 |
| 1043563174 | Primary and Urgent Care LLC | Family Medicine | 10009 South Point Parkway, Suite # 200, Fredericksburg, VA 22407 | 2012-10-26 |
| 1225322639 | Raymond Smith | Family Medicine | 608 Royal Oaks Loop, Fredericksburg, TX 78624-6663 | 2011-06-02 |
| 1649414137 | Donna Roxanne Richards | Family Medicine | 21 Dabney Ct, Fredericksburg, VA 22405-2173 | 2009-04-28 |
| 1235375007 | Nicquia Spain | Family Medicine | 4535 Spotsylvania Pkwy, Fredericksburg, VA 22408-7768 | 2008-12-30 |
| 1952520330 | Naeem Ahmad | Family Medicine | 4510 Plank Rd, Suite 200, Fredericksburg, VA 22407-0138 | 2007-04-24 |
| 1154545028 | Muhammad Jadoon | Family Medicine | 1000 Sam Perry Blvd, Fredericksburg, VA 22405 | 2007-04-12 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 78624 |
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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.