Active NPI
Cynthia S Holmes MD PC
- Diagnostic Radiology Physician
- Pendleton, OR
National Provider Identifier
1164520565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 24138
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 286306 | Medicaid | OR | |
| 1117654 | Medicaid | WA |
National Provider Directory
National Provider DirectoryNPI 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.