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

Mark Stephen Holder, PA-C

Individual provider Physician Assistant · NPI 1659988533

Mark Stephen Holder, PA-C is a Physician Assistant in Manchester, Missouri. Qualified in 2020, 6 years ago. Practices with St Louis Pain Consultants LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
6
Licensed in
MO
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

13861 Manchester Rd
Manchester, MO 63011-4503
Phone: (636) 220-9333
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2020032233 (MO)

Record details

NPI number1659988533
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2020
Last updated in NPPESSeptember 25, 2020
Certification dateSeptember 25, 2020
Mailing address13861 Manchester Rd, Manchester, MO 63011-4503

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice St Louis Pain Consultants Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Manchester