Organization Active NPI

Maria Holmes, MD, PLLC

  • Obstetrics & Gynecology Physician
  • Issaquah, WA
National Provider Identifier
1093979130
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD00037841 Issued in WA
Legal business name
MARIA HOLMES, MD, PLLC
Practice address
22500 SE 64TH PL
Suite 120
Issaquah, WA 98027-8111
Phone
(425) 651-4338
Fax
(425) 651-4388
NPI assigned
Jul 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Maria Chernykh Holmes, MD
Title
Owner
Phone
(425) 651-4338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MD00037841 WA Primary

Addresses

Primary practice location

22500 SE 64TH PL
Suite 120
Issaquah, WA 98027-8111

Mailing address

4517 SW College St
Seattle, WA 98116-2123
Phone (425) 651-4338

Other identifiers 1

IdentifierTypeStateIssuer
8245193MedicaidWA

Other names 1

  • Issaquah Women's Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1093979130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 SW COLLEGE ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981162123",
            "telephone_number": "425-651-4338",
            "fax_number": "425-651-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22500 SE 64TH PL",
            "address_2": "SUITE 120",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278111",
            "telephone_number": "425-651-4338",
            "fax_number": "425-651-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA HOLMES, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "CHERNYKH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-651-4338",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00037841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8245193",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Issaquah Women's Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.