Heather Rebecca Holmes, MD
Individual provider Active NPI Family Medicine Physician · Rosenburg, OR
NPI 1124339544 · NPPES record last updated Feb 21, 2023
Key facts
- NPI
- 1124339544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD166592 (OR)
- Practice address
- 2564 NW Edenbower Blvd, Suite 126
Rosenburg, OR 97471 - Phone
- (541) 672-7718
- NPI assigned
- Jun 30, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Tennessee, HSC, College of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2564 NW Edenbower Blvd
Suite 126
Roseburg, OR 97471-8854
Phone (541) 492-2350
Hospital & facility affiliations
- Amedisys Home Health Care
- Mercy Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141020000788 | OR | Practitioner - Family Practice | 8628299484 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10037211 | TX | MD | Family Medicine Physician |
| P5381 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holmes Family Practice, PC | Current |
Accepting new patients | |
| Umpqua Community Health Center, Inc. | Current | Accepting new patients | |
| Umpqua Community Health Center, Inc. | Current |
Accepting new patients | |
| Umpqua Community Health Center, Inc. | Current |
Accepting new patients | |
| Tuality Healthcare | Current |
Accepting new patients | |
| Tuality Healthcare | Family Medicine | Current |
Accepting new patients |
| Commonspirit Oregon | Past | Accepting new patients |
Locations
335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111
6355 NE Cornell Rd
Ste 100
Hillsboro, OR 97124
Phone (503) 597-3130
2564 NW Edenbower Blvd
Ste 126
Roseburg, OR 97471
Phone (541) 464-6260
2564 NW Edenbower Blvd
Ste 134
Roseburg, OR 97471
Phone (541) 492-2350
150 NE Kenneth Ford Dr
Roseburg, OR 97470
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GEAICD/Endpoint/GEAICD
- heather.holmes.1@17792.direct.athenahealth.com
- hholmes953978@oc.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | BP10037211 | TX | |
| Family Medicine Physician | 207Q00000X | P5381 | TX | |
| Family Medicine Physician | 207Q00000X | MD166592 | OR | Yes |
Addresses
Primary practice location
2564 NW Edenbower Blvd, Suite 126
Rosenburg, OR 97471
Mailing address
2564 NW Edenbower Blvd, Suite 126
Rosenburg, OR 97471
Phone (541) 672-7718
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500674045 | Medicaid | OR |
Other providers in Rosenburg, OR
All providers in Rosenburg, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.