Lance Holtry, D.O

ActiveIndividual ProviderFamily Medicine
NPI issued: October 13, 2005

Quick Facts

NPI Number
1104814037
TypeIndividual
StatusActive
SpecialtyFamily Medicine
Taxonomy207Q00000X — Family Medicine
Phone
(916) 933-8010
StateCA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1104814037)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (October 13, 2005)
Data source: CMS NPPES

Provider Overview

LANCE HOLTRY, D.O is a Family Medicine provider based in El Dorado Hills, CA who has been registered with CMS since 2005. They are affiliated with The Permanente Medical Group. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1104814037
Provider TypeIndividual Provider
GenderMale
CredentialD.O
StatusActive
Enumeration DateOctober 13, 2005

Practice Location

CityEl Dorado Hills
StateCA
ZIP Code95762-9670
Phone(916) 933-8010

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207Q00000X
License StateCA

Mailing Address

CityEl Dorado Hills
StateCA
ZIP Code95762-9670
Phone(916) 933-8010
Same as practice location

Hospital & Organization Affiliations

🏢

The Permanente Medical Group

📍 Folsom, CA

Hospital NPIY→

How to Use This NPI

📋

For Insurance Billing

Use NPI 1104814037 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1104814037for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1104814037 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

Browse all Family Medicineproviders →
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199,317
Family Medicine Providers in the US

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People Also Ask

What is Lance Holtry's NPI number?
Lance Holtry's NPI number is 1104814037, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Lance Holtry's NPI currently active?
Yes, Lance Holtry's NPI status is Active as of the latest CMS NPPES database updates.
What does Lance Holtry specialize in?
Lance Holtry specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207Q00000X.
Where does Lance Holtry practice?
Lance Holtry practices in El Dorado Hills, CA 95762-9670.
When was Lance Holtry's NPI issued?
Lance Holtry's NPI was issued on October 13, 2005.
What is Lance Holtry's provider type?
Lance Holtry is registered as an Individual Provider under CMS NPI Type 1.