Active NPI
Richard Roy Holman, D.O.
- Internal Medicine Physician
- Anacortes, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OP60928607
- Practice address
- 1211 24TH St
Anacortes, WA 98221 - Phone
- (360) 299-1300
- NPI assigned
- Jun 12, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OP60928607 | WA | Primary |
Addresses
Primary practice location
1211 24TH St
Anacortes, WA 98221
Mailing address
1211 24TH St
Anacortes, WA 98221-2562
Phone (360) 299-1300
Other practice location 1
79-01 Broadway, A1-16
Elmhurst Hospital Center
Elmhurst, NY 11373
Phone (718) 334-2488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 424-4111
407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-4000
Hospital & facility affiliations
- Skagit Valley Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Hospital Medicine Physicians LLC | Internal Medicine | Current | Accepting new patients |
| South Sound Inpatient Physicians PLLC | Internal Medicine | Current | Accepting new patients |
| South Sound Inpatient Physicians PLLC | Internal Medicine | Current | Accepting new patients |
| Public Hospital Dist No 1 Skagit | Past | Accepting new patients | |
| Public Hospital District No 2 Skagit County Washington | Past | Accepting new patients |
Locations
1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181
3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000
407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000
Interoperability endpoints
- rholman63366@skagit.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1023285756
-
- Hospitalist Physician
- Las Cruces, NM
- NPI 1972056752
Internal Medicine, WA
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1508023789
-
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
-
- General Acute Care Hospital
- Anacortes, WA
- NPI 1710913140
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566086400000",
"number": "1205240702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 24TH ST",
"city": "ANACORTES",
"state": "WA",
"postal_code": "982212562",
"telephone_number": "360-299-1300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 24TH ST",
"city": "ANACORTES",
"state": "WA",
"postal_code": "98221",
"telephone_number": "360-299-1300"
}
],
"practiceLocations": [
{
"address_1": "79-01 Broadway, A1-16",
"address_2": "Elmhurst Hospital Center",
"address_purpose": "LOCATION",
"city": "Elmhurst",
"state": "NY",
"postal_code": "11373",
"country_code": "US",
"telephone_number": "718-334-2488",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLMAN",
"first_name": "RICHARD",
"middle_name": "ROY",
"name_prefix": "Mr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-12",
"last_updated": "2019-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "OP60928607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anacortes, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2019; 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.