Dr. Jeremy Patrick Holter, MD

Internal Medicine in Shawnee, OK. Individual provider (NPI-1).

NPI number1003859778

StatusActive

Last updated in NPPESAug 30, 2012

Details

NPI: 1003859778
Entity type: Individual (NPI-1)
Name: Dr. Jeremy Patrick Holter
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Jun 13, 2006
Last updated: Aug 30, 2012

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - INTERNAL MEDICINE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	22964	OK	Yes
208000000X	Pediatrics	22964	OK

Practice location

3315 Kethley Rd
Shawnee, OK 74804-9638

Phone 405-273-5801 · Fax 405-878-3814

Mailing address

Po Box 849
Shawnee, OK 74802-0849

Phone 405-273-5801 · Fax 405-878-3814

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Other Internal Medicine Physician providers in Shawnee, OK

All 15 Internal Medicine Physician providers in Shawnee · All 1,457 providers in Shawnee

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