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

Mary Holthaus, PA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1285296913

Mary Holthaus, PA is a Physician Assistant in Annapolis, Maryland. Qualified in 2019, 7 years ago. Practices with Mcv Associated Physicians, a 1,767-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
7
Licensed in
MD
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

122 Defense Hwy Ste 210
Annapolis, MD 21401-7071
Phone: (410) 266-9694
Show map & directions

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

Additional practice locations (1)

  • 130 Love Point Rd Ste 107, Stevensville, MD 21666-2132 — (410) 266-9694

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence C07349 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1285296913
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 2, 2019
Last updated in NPPESJanuary 19, 2023
Certification dateJanuary 19, 2023
Mailing address122 Defense Hwy Ste 210, Annapolis, MD 21401-7071

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice McV Associated Physicians — 1767 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Annapolis