Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Charles K Holt

Individual provider Physician Assistant · NPI 1205834991

Charles K Holt is a Physician Assistant in Aurora, Colorado. Qualified in 2002, 24 years ago. Practices with Grand Traverse Physician Services PC, a 123-clinician group and accepts Medicare assignment. Licensed in Colorado and Texas.

Years since qualifying
24
Licensed in
CO, TX
In the registry since
2005
Specialties on file
2
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Practice location Address checks out

12250 E Iliff Ave #300
Aurora, CO 80014-6318
Phone: (720) 524-1550
Fax: (720) 524-1551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA0004528 (CO)
Physician Assistant Taxonomy 363A00000X · Licence PA03679 (TX)

Record details

NPI number1205834991
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 7, 2005
Last updated in NPPESMarch 29, 2016
Mailing address12250 E Iliff Ave, 300, Aurora, CO 80014-6318

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Grand Traverse Physician Services Pc — 123 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Aurora