Physician Compare National (NPI:1477524783)

HEALTHCARE PROVIDER: JOHN PLUMMER HOLT M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1477524783
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9436253838
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100812000218
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HOLT
	Individual professional last name
Provider First Name	JOHN
	Individual professional first name
Provider Middle Name	PLUMMER
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	INTERNAL MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	INTERNAL MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	TRIANGLE GASTROENTEROLOGY PLLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	6002910403
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	4
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2600 ATLANTIC AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	RALEIGH
	Group Practice or individual's city
State	NC
	Group Practice or individual's state
Zip Code	276041502
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9198819999
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	340073
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	DUKE HEALTH RALEIGH HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y