DAVID HOLT


Address: 530 Ne Glen Oak Ave, Peoria, IL 61637-0001
Phone: 3096557768

DAVID HOLT (NPI# 1942680830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942680830
Entity Type Individual
Full Name DAVID HOLT
Credential M.D.
Practice Address 530 Ne Glen Oak Ave
Peoria
IL 61637-0001
Practice Telephone 3096557768
Mailing Telephone 3096557768
Enumeration Date 2015-06-04
Last Update Date 2015-06-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
125.066929 IL Allopathic & Osteopathic Physicians

Other Providers DAVID HOLT

NPI Name Taxonomy Address Enumeration
1578815916 David Wayne Holt Pharmacist 110 Sw Highway 101, Waldport, OR 97394-3035 2012-10-10
1669616249 David Holt Orthopaedic Surgery 260 Ft Sanders West Blvd, Knoxville, TN 37922-3355 2009-04-27
1225156441 David Michael Holt Military Health Care Provider 341 Creekside Dr, Saint Marys, GA 31558-4485 2007-03-26
1396898052 David Wayne Holt Chiropractor 1005 E Broadway, Lenoir City, TN 37771 2007-01-18
1508805888 David Brannon Holt Family Medicine 4660 Haygood Rd, Virginia Beach, VA 23455-5436 2006-06-05
1073585220 David Andrew Holt Counselor 517 Spring St, Jamestown, NY 14701-5323 2006-02-02
1417938226 David Arnold Holt Internal Medicine 100 East Wood St, Ste 302, Spartanburg, SC 29303-3040 2005-11-09
1912533589 David Benjamin Holt Physician Assistant 708 Lexington Ave, Fort Smith, AR 72901-4738 2020-03-16
1508330770 David Payton Holt Jr. Case Manager/Care Coordinator 4455 E 12th Ave, Denver, CO 80220-2415 2019-01-21
1912456500 David Holt Registered Nurse 580 Mohawk Dr, Boulder, CO 80303-3712 2016-09-24

Office Location

Street Address 530 NE GLEN OAK AVE
City PEORIA
State IL
Zip Code 61637-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346235777 Jack Michael Gibson Obstetrics & Gynecology 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2005-09-12
1053912188 Janie Clary Nurse Practitioner 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-11-04
1265030548 Christina David Nurse Practitioner 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-10-09
1033726831 Corry Lynn Rediger Occupational Therapist 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-09-25
1720694094 Katelynn M Madden Clinical Nurse Specialist 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-09-21
1568074474 Amanda Diane Beoletto Pharmacist 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-08-21
1881212892 Mohammad Mousbah Al-tabbaa Student in an Organized Health Care Education/Training Program 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-07-07
1750909693 Mohammad Gareeb Student in an Organized Health Care Education/Training Program 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-07-07
1376160846 Bassel Elia Abouzeid Student in an Organized Health Care Education/Training Program 530 Ne Glen Oak Ave, Peoria, IL 61637 2020-07-01
1700403516 Christina Marie Spurgeon Nurse Practitioner 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 2020-06-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780200865 Kuang Chuen Liu Pediatrics 530 Ne Glen Oak Ave, Peoria, Peoria, IL 61637 2020-06-24
1174184527 Manisha Tharoor Student in an Organized Health Care Education/Training Program 530 N.e Glen Oak Ave, Peoria, IL 61637 2019-06-26
1609436724 Sriviji Senthil Kumaran Student in an Organized Health Care Education/Training Program 530. N.e Glen Oak Ave., Peoria, IL 61637 2019-06-20
1780240929 Abuzar Ali Asif Student in an Organized Health Care Education/Training Program 530 N. E. Glen Oak Ave., Peoria, IL 61637 2019-05-14
1518328665 Jenna Bishop Dietitian, Registered 600 Ne Water Street, Peoria, IL 61637 2016-03-17
1194133850 Ashish Kumar Roy Internal Medicine 530 N.e. Glen Oak Ave, Peoria, IL 61637 2014-07-25
1265720510 Reuben Antony Pediatrics 530 Ne Glen Oak Ave., C/o Ms Suzy Lewellen, Peoria, IL 61637 2011-07-20
1366673436 Joseph William Hauter Emergency Medicine 830 Ne Glen Oak Ave, Peoria, IL 61637 2009-08-06
1437380748 Jeremy R Monroe Emergency Medicine 530 Glen Oak, Osf St Francis Medical Center, Peoria, IL 61637 2009-08-04
1326244682 Maria S. Parr Psychiatry & Neurology Osf Saint Francis Medical Center, 530 N.e.glen Oak Ave., Peoria, FL 61637 2007-06-25
Find all providers in zip 61637

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992054829 Justin S Ferragut Radiology 530 Northeast Glen Oak Avenue, Peoria, IL 61603 2012-09-06
1932490075 Christine Ann Wigginton Radiology 221 Ne Glen Oak Ave Dept Of, Peoria, IL 61636 2011-04-24
1932421591 Smi Imaging, LLC Radiology 9125 W Thunderbird Rd, Suite 105, Peoria, AZ 85381-4920 2010-02-24
1972736163 Smi Imaging, LLC Radiology 9403 W Thunderbird Rd, Peoria, AZ 85381-4825 2009-09-03
1184828360 Jane Ho Maksimovic Radiology 2612 W Newman Pkwy, Peoria, IL 61604-2208 2007-06-12
1124030705 Terry M Brady Radiology 411 Hamilton Blvd, 1824, Peoria, IL 61602-1144 2006-08-12
1275543456 Kim V. Arellano-villarreal Radiology 401 Sw Water St, Peoria, IL 61602-1571 2006-08-09
1386659241 Central Illinois Radiological Associates, Ltd. Radiology Osf St Francis Medical Ctr, 530 N.e. Glen Oak, Peoria, IL 61636-0001 2006-07-29
1538192828 Central Illinois Radiological Associates, Ltd. Radiology 530 Ne Glen Oak Avenue, Peoria, IL 61637 2006-07-09
1265469399 Brian A Holtan Radiology 31003 N 118th Ln, Peoria, AZ 85383-8240 2006-06-26
Find all providers in PEORIA

Competitor

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City PEORIA
Zip Code 61637

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Dataset Information

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.

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