Individual provider Active NPI

William D. Holmes Jr., M.D.

  • Family Medicine Physician
  • Luling, LA
National Provider Identifier
1003007998
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
201191 Issued in LA
Practice address
843 Milling Ave
Luling, LA 70070-4442
Phone
(985) 785-5800
Fax
(985) 785-5811
NPI assigned
Aug 6, 2007
Last updated
Sep 28, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 201191 LA Primary

Addresses

Primary practice location

843 Milling Ave
Luling, LA 70070-4442

Mailing address

843 Milling Ave
Luling, LA 70070-4442
Phone (985) 785-5800

Other identifiers 2

IdentifierTypeStateIssuer
1479322MedicaidLA
1444642MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
201191LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
US Medcare, LLC Family Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11331/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1003007998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 MILLING AVE",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704442",
            "telephone_number": "985-785-5800",
            "fax_number": "985-785-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 MILLING AVE",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704442",
            "telephone_number": "985-785-5800",
            "fax_number": "985-785-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "WILLIAM",
        "middle_name": "D.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "201191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1479322",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1444642",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Luling, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.