Charles Edward Holt (NPI# 1689772519, PAC ID# 3072647296) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1689772519 |
| PAC ID by PECOS | 3072647296 |
| Professional Enrollment ID | I20100810000552 |
| Full Name | Charles Edward Holt |
| Address |
280 N Main St Tooele UT 84074-1650 |
| Phone Number | 4358828610 |
| Gender | M |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1982 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460014 | MOUNTAIN WEST MEDICAL CENTER |
| 460047 | ST MARK'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 280 N Main St, Tooele, UT 84074-1650 | 4358828610 |
| Street Address |
280 N MAIN ST |
| City | TOOELE |
| State | UT |
| Zip | 84074-1650 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Michael Wilks | Physical Therapy | Ihc Health Services Inc | 280 N Main St, Bountiful, UT 84010-6136 |
| Destiny Lyn Carter | Physical Therapy | Ihc Health Services Inc | 280 N Main St, Bountiful, UT 84010-6136 |
| Daniel Oliver Mcgarvey | Physical Therapy | Ihc Health Services Inc | 280 N Main St, Bountiful, UT 84010-6136 |
| Isaac Halliday | Physical Therapy | Ihc Health Services Inc | 280 N Main St, Bountiful, UT 84010-6136 |
| Spencer E Richards | Sports Medicine | Ihc Health Services Inc | 280 N Main St, Bountiful, UT 84010-6136 |
| Christopher Conrad Bell | Sports Medicine | Ihc Health Services Inc | 280 N Main St, Bountiful, UT 84010-6136 |
| Melissa Verner | Clinical Social Worker | 280 N Main St, Suite 7, East Longmeadow, MA 01028-1814 | |
| Karin I Westlen-boyer | Physical Therapy | Ihc Health Services Inc | 280 N Main St, Bountiful, UT 84010-6136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Pagnani | Physical Therapy | 6727n State Hwy 36 300, Stansbury Park, UT 84074 | |
| Jennifer B Littledike | Physician Assistant | Patrick Green Md Pllc | 134 W 1180, Suite 5, Tooele, UT 84074-1483 |
| Patrick N Green | Family Medicine | Patrick Green Md Pllc | 134 W 1180, Suite 5, Tooele, UT 84074-1483 |
| Rynthia G Crosbie | Nurse Practitioner | Patrick Green Md Pllc | 134 W 1180, Suite 5, Tooele, UT 84074-1483 |
| Hilary S Seibert | Family Medicine | Patrick Green Md Pllc | 134 W 1180, Suite 5, Tooele, UT 84074-1483 |
| David K Morrill | Optometry | 102 W 1180, Suite 2, Tooele, UT 84074-1492 | |
| Alec Kitch | Family Medicine | Ihc Health Services Inc | 777 N Main St, Tooele, UT 84074-1611 |
| Shelley R Treuhaft | Nurse Practitioner | Ihc Health Services Inc | 777 N Main St, Tooele, UT 84074-1611 |
| Brand P Reynolds | Nurse Practitioner | 491 N Main St, Tooele, UT 84074-1654 | |
| Lanny F Duclos Jr. | Optometry | Lanny F Duclos Od PC | 88 E 700, Suite A, Tooele, UT 84074-1818 |
| Find all physicians in zip 84074 | |||
| City | TOOELE |
| Zip Code | 84074 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | TOOELE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Charles Edward Holt.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.