Morgan Timothy Holmes, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC003377L Issued in PA

Practice address

90 E Main St
Suite 3
North East, PA 16428-1319

Phone

(814) 725-2715

Fax

(814) 725-5186

NPI assigned

Jul 26, 2005

Last updated

Nov 15, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metabolic Disease Associates, Inc.Group PAC ID 5799686614, 12 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Metabolic Disease Associates, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Erie, PA
  • NPI 1639119142

  Podiatrist

  Medicare reassignment Care Compare group NPD
• North East Foot Clinic

  • Foot Surgery Podiatrist
  • North East, PA
  • NPI 1902011125
  Authorized official Same address or phone

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1144220732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 E MAIN ST",
            "address_2": "SUITE 3",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "164281319",
            "telephone_number": "814-725-2715",
            "fax_number": "814-725-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 E MAIN ST",
            "address_2": "SUITE 3",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "164281319",
            "telephone_number": "814-725-2715",
            "fax_number": "814-725-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "MORGAN",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003377L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012954200006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "481559",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Jean Guzowski
• Julie Marie Haas, MA CCC-SLP
• Harriett Spencer Hall, RN
• Hamot Health Foundation
• Maria Hodapp, M.S CCC-SLP
• Home 4 You Home Care
• Home 4 You Home Care LLC
• Megan A Johnson, ATC
• Sara Elizabeth Kitchen
• Jacob Allen Kraemer

• Podiatrist in North East, PA
• Providers in North East, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.