CHARLES LEE SOSEMAN HOLLIDAY MD
NPI 1750901609
Orthopaedic Surgery - Sports Medicine in Salt Lake City, UT

Active since April 21, 2020PECOS EnrolledAccepts Medicare Assignment
590 S WAKARA WAY RM A0058, SALT LAKE CITY, UT 84108(801) 581-2121 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 29, 2025, Aug 4, 2025, Aug 26, 2021 and 3 more (6 updates tracked since 2020).

About Charles Lee Soseman Holliday Md NPPES

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

CHARLES LEE SOSEMAN HOLLIDAY MD (NPI 1750901609) is an individual sports medicine provider in Salt Lake City, Utah, licensed in Utah (14210215-1205) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1750901609
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameCHARLES LEE SOSEMAN HOLLIDAYCredential: MD
Location Address590 S WAKARA WAY RM A0058Salt Lake City, UT 84108-1200
Mailing Address590 S Wakara Way Rm A0058Salt Lake City, UT 84108-1200 · (801) 581-2121
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2020
Enumeration DateApril 21, 2020
Last NPPES UpdateDecember 29, 20256 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
NPI 1750901609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in UT · 14210215-1205
Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 69880 (MN), 30945 (MN)
590 S WAKARA WAY RM A0058, Salt Lake City, UT 84108

Secondary Practice Location 1

Location 1200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Charles Lee Soseman Holliday Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638593007
PECOS Enrollment IDI20250830000562
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

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.

Orthopaedic Surgery
590 S WAKARA WAY RM A0058
SALT LAKE CITY, UT 84108
Orthopaedic Surgery
590 S WAKARA WAY RM A0058
SALT LAKE CITY, UT 84108
Orthopaedic Surgery
590 S WAKARA WAY RM A0058
SALT LAKE CITY, UT 84108
Orthopaedic Surgery
590 S WAKARA WAY RM A0058
SALT LAKE CITY, UT 84108
Orthopaedic Surgery
590 S WAKARA WAY RM A0058
SALT LAKE CITY, UT 84108
Orthopaedic Surgery
590 S WAKARA WAY RM A0058
SALT LAKE CITY, UT 84108
Orthopaedic Surgery
590 S WAKARA WAY RM A0058
SALT LAKE CITY, UT 84108
Orthopaedic Surgery
590 S WAKARA WAY RM A0058
SALT LAKE CITY, UT 84108

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 Charles Holliday's NPI number?

The NPI number for Charles Holliday is 1750901609. It was assigned to this individual provider in the NPPES registry on April 21, 2020.

Where is Charles Holliday located?

Charles Holliday practices at 590 S Wakara Way Rm A0058, Salt Lake City, UT 84108. The listed phone number is (801) 581-2121.

What is Charles Holliday's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Charles Holliday enrolled in Medicare?

Yes. Charles Holliday is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Charles Holliday accept?

Health plans from BridgeSpan Health Company, Molina Healthcare and Regence BlueCross BlueShield of Utah list Charles Holliday as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Charles Holliday affiliated with any hospitals?

According to CMS data, Charles Holliday is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Charles Holliday was last updated on December 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.