Active NPI
William R Holmes, D.O.
- Family Medicine Physician
- Lewistown, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5370
- Practice address
- 408 Wendell Ave
Lewistown, MT 59457-2261 - Phone
- (406) 535-1502
- NPI assigned
- Nov 2, 2005
- Last updated
- Dec 12, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5370 | MT | Primary |
Addresses
Primary practice location
408 Wendell Ave
Lewistown, MT 59457-2261
Mailing address
408 Wendell Ave
Lewistown, MT 59457-2261
Phone (406) 535-1502
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00521 | Other | MT | BCBS |
| 043843 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5370 | MT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Montana Medical Facilities, Inc. | Family Medicine | Current | Accepting new patients |
| Central Montana Medical Facilities, Inc. | Family Medicine | Current | Accepting new patients |
| Central Montana Medical Facilities, Inc. | Current | Accepting new patients | |
| Central Montana Medical Facilities, Inc | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
310 Wendell Ave
Ste 103
Lewistown, MT 59457
Phone (406) 535-1480
408 Wendell Ave
Lewistown, MT 59457
Phone (406) 535-1502
Organizations & group practices 5
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.
-
dba Central Montana Medical Center
- Critical Access Hospital
- Lewistown, MT
- NPI 1790798387
-
dba Central Montana Medical Center Clinic
- Family Medicine Physician
- Lewistown, MT
- NPI 1497868814
-
- Emergency Medical Services (Emergency Medicine) Physician
- Lewistown, MT
- NPI 1427161843
Family Medicine
-
dba Central Montana Medical Center Ambulance
- Land Ambulance
- Lewistown, MT
- NPI 1770696601
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513036800000",
"number": "1053302794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 WENDELL AVE",
"city": "LEWISTOWN",
"state": "MT",
"postal_code": "594572261",
"telephone_number": "406-535-1502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 WENDELL AVE",
"city": "LEWISTOWN",
"state": "MT",
"postal_code": "594572261",
"telephone_number": "406-535-1502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "WILLIAM",
"middle_name": "R",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2017-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "5370",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "00521",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "043843",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewistown, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.