Organization Active NPI

Cynthia S Holmes MD PC

  • Diagnostic Radiology Physician
  • Pendleton, OR
National Provider Identifier
1164520565
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
24138 Issued in OR
Legal business name
CYNTHIA S HOLMES MD PC
Practice address
1601 SE Court Ave
Pendleton, OR 97801-3217
Phone
(541) 278-3228
Fax
(541) 278-3671
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cynthia S Holmes, MD
Title
President
Phone
(541) 278-3228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 24138 OR Primary

Addresses

Primary practice location

1601 SE Court Ave
Pendleton, OR 97801-3217

Mailing address

PO Box 1066
Corvallis, OR 97339-1066
Phone (541) 758-5047

Other identifiers 2

IdentifierTypeStateIssuer
286306MedicaidOR
1117654MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164520565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1066",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391066",
            "telephone_number": "541-758-5047",
            "fax_number": "541-758-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 SE COURT AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013217",
            "telephone_number": "541-278-3228",
            "fax_number": "541-278-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA S HOLMES MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-278-3228",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "24138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286306",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1117654",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.