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

Mr. Douglas S Holt, CST

Individual provider Surgical Assistant · NPI 1538714191

Mr. Douglas S Holt, CST is a Surgical Assistant in Normal, Illinois. Works from 3 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2019

Practice location Address checks out

1604 Visa Dr Ste 1
Normal, IL 61761-2195
Phone: (309) 846-4716
Fax: (309) 454-7348
Show map & directions

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

Additional practice locations (2)

  • 1304 Franklin Ave, Normal, IL 61761-3558 — (309) 454-1400
  • 1400 W Park St, Urbana, IL 61801-2334 — (217) 337-2000

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence 237000196 (IL)

Record details

NPI number1538714191
Entity typeIndividual (Type 1)
GenderMale
Credentials CST
Sole proprietorNo
NPI enumeratedAugust 9, 2019
Last updated in NPPESSeptember 12, 2019

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