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MR. DOUGLAS S HOLT CST
NPI 1538714191
Specialist/Technologist, Other - Surgical Assistant in Normal, IL

Active since August 09, 2019
1604 VISA DR STE 1, NORMAL, IL 61761(309) 846-4716(309) 454-7348 Get Directions Write a Review

NPPES record last updated: September 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2019, Aug 9, 2019 (2 updates tracked since 2019).

About Mr. Douglas S Holt Cst NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DOUGLAS S HOLT CST (NPI 1538714191) is an individual surgical assistant in Normal, Illinois, licensed in Illinois (237000196) and active in the NPI registry since August 2019. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1538714191
Entity TypeIndividualMale
Primary Taxonomy246ZC0007X
Provider Legal NameMR. DOUGLAS S HOLTCredential: CST
Location Address1604 VISA DR STE 1Normal, IL 61761-2195
Mailing Address1604 Visa Dr Ste 1Normal, IL 61761-2195 · (309) 846-4716 · Fax (309) 454-7348
Phone(309) 846-4716
Fax(309) 454-7348
Sole ProprietorNo
Enumeration DateAugust 9, 2019
Last NPPES UpdateSeptember 12, 20192 updates tracked since enumeration
✔ NPI 1538714191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist, Other · Surgical AssistantTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZC0007X
License✔ Licensed in IL · 237000196
Definition
A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training.
1604 VISA DR STE 1, Normal, IL 61761
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Secondary Practice Locations 2

Location 11400 W Park StUrbana, IL 61801-2334 · Phone (217) 337-2000
Location 21304 Franklin AveNormal, IL 61761-3558 · Phone (309) 454-1400

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CANDI HAZELWONDER CST
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
KENT PETERSEN RN
Registered Nurse
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
MR. HESTON J ALLRED
Specialist/Technologist, Other (Electroneurodiagnostic)
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
YULIA GULAY
Specialist/Technologist, Other (Electroneurodiagnostic)
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
MS. DESIREE A PADILLA IONM TECHNOLOGIST
Specialist/Technologist, Other (Electroneurodiagnostic)
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
JULIE L DIETERMAN RN, CNOR, RNFA
Registered Nurse (Registered Nurse First Assistant)
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
STACEY J GIESE RN
Specialist/Technologist, Other (Surgical Assistant)
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716
EMILY WOLF CST
Physician Assistant (Surgical)
1604 VISA DR STE 1
NORMAL, IL 61761
McLean County (309) 846-4716

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Holt's NPI number?

The NPI number for Douglas Holt is 1538714191. It was assigned to this individual provider in the NPPES registry on August 9, 2019.

Where is Douglas Holt located?

Douglas Holt practices at 1604 Visa Dr Ste 1, Normal, IL 61761. The listed phone number is (309) 846-4716.

What is Douglas Holt's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in Surgical Assistant, with taxonomy code 246ZC0007X.

When was this NPI record last updated?

The NPPES record for Douglas Holt was last updated on September 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.