Individual provider

Ken Holt, D.O.

Obstetrics & Gynecology Physician Medicare enrolled

Ken Holt, D.O. is an Obstetrics & Gynecology Physician in Lander, WY, registered under NPI 1104894047. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 125 WYOMING ST, Lander, WY 82520. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

125 WYOMING ST, Lander, WY 82520 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
13534A WY Obstetrics & Gynecology Physician primary
2005020340 MO Obstetrics & Gynecology Physician

Licences are recorded in 2 states: WY, MO. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Obstetrics/gynecology
PAC ID
1557390424

Enrolled in Medicare 4 times, across 4 states:

StateEnrollment IDProvider type
Missouri I20050810001135 Practitioner - Obstetrics/gynecology
Wyoming I20210506001563 Practitioner - Obstetrics/gynecology
Arkansas I20231005002407 Practitioner - Obstetrics/gynecology
Alaska I20250909003516 Practitioner - Obstetrics/gynecology

Medicare enrolment is recorded as approved under the provider type Practitioner - Obstetrics/gynecology. There are 4 separate enrolment records across 4 states (MO, WY, AR, AK). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Missouri and Wyoming. The practice address on file is in Lander, WY, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

MO Missouri
Licence
2005020340
Specialty
Obstetrics & Gynecology Physician
Verify with the MO board →
WY Wyoming practice address
Licence
13534A
Specialty
Obstetrics & Gynecology Physician
Verify with the WY board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Obstetrics & Gynecology covers

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NUCC Health Care Provider Taxonomy, code 207V00000X
Allopathic & Osteopathic Physicians Obstetrics & Gynecology

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207V00000X Obstetrics & Gynecology Physician 13534A WY primary
207V00000X Obstetrics & Gynecology Physician 2005020340 MO

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104894047 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 8, 2006
Last updatedMay 17, 2023
StatusActive
Sole proprietorYes
CredentialD.O.
Practice address 125 WYOMING ST
Lander, WY 82520
(307) 206-1330
Fax (307) 206-1331
The last update on file is May 17, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1104894047 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 8 9 4 0 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 7 9 8 0 8

Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104894047?
NPI 1104894047 is the National Provider Identifier assigned to Ken Holt, D.O. in Lander, WY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Obstetrics & Gynecology Physician cover?
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
How do I contact Ken Holt, D.O.?
The phone number on file with NPPES is (307) 206-1330, last updated May 17, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Ken Holt, D.O. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104894047 a valid number?
Yes. 1104894047 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.