Henry Holt (NPI# 1417237884, PAC ID# 3971816885) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1417237884 |
| PAC ID by PECOS | 3971816885 |
| Professional Enrollment ID | I20170822001083 |
| Full Name | Henry Holt |
| Organization Legal Name | RETINA OF COASTAL CAROLINA, PLLC |
| Address |
1801 N H Medical Park Dr Wilmington NC 28403-5351 |
| Phone Number | 9102542023117 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 5698787620 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340141 | NEW HANOVER REGIONAL MEDICAL CENTER |
| 340042 | ONSLOW MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1899 N Marine Blvd, Suite 400, Jacksonville, NC 28546-6555 | 9103550896 | RETINA OF COASTAL CAROLINA, PLLC |
| 1801 N H Medical Park Dr, Wilmington, NC 28403-5351 | 9102542023117 | RETINA OF COASTAL CAROLINA, PLLC |
| Organization Legal Name | RETINA OF COASTAL CAROLINA, PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Igor Westra | Ophthalmology | Retina of Coastal Carolina, Pllc | 1801 N H Medical Park Dr, Wilmington, NC 28403-5351 |
| Gerard Henderik Van Rens | Ophthalmology | Retina of Coastal Carolina, Pllc | 1801 N H Medical Park Dr, Wilmington, NC 28403-5351 |
| Street Address |
1801 N H MEDICAL PARK DR |
| City | WILMINGTON |
| State | NC |
| Zip | 28403-5351 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Igor Westra | Ophthalmology | Retina of Coastal Carolina, Pllc | 1801 N H Medical Park Dr, Wilmington, NC 28403-5351 |
| Gerard Henderik Van Rens | Ophthalmology | Retina of Coastal Carolina, Pllc | 1801 N H Medical Park Dr, Wilmington, NC 28403-5351 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Tar | Clinical Social Worker | 1410 Commonwealth Dr, Suite 101a, Wilmington, NC 28403-0383 | |
| Christopher R Myers | Psychiatry | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Brett A Gurkin | Psychiatry | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Geoffrey D Holland | Physician Assistant | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Patricia Davis Prichard | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Katherine Sharon Martin | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Catherine Marie Dalton | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Joseph Painter | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Rasika Khatu Whitesell | Optometry | Myeyedr Optometry of North Carolina Pllc | 3501 Oleander Dr, Suite 7, Wilmington, NC 28403-0824 |
| Thomas M Walent Iii | Optometry | The Eye Center Doctors of Optometry Pa | 3500 Oleander Dr, B10, Wilmington, NC 28403-0842 |
| Find all physicians in zip 28403 | |||
| City | WILMINGTON |
| Zip Code | 28403 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | WILMINGTON + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Henry 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.