NPIMap

Organization Active NPI

Holmes & Guy Podiatrists, P C

  • Podiatric Clinic/Center
  • Woodbridge, VA
National Provider Identifier
1295061851
Registry record updated Jun 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
HOLMES & GUY PODIATRISTS, P C
Practice address
1700 Rosedale CT
Woodbridge, VA 22191-3016
Phone
(703) 494-3070
NPI assigned
Nov 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Authorized official

Name
Dr. Edna C Holmes, DPMNPI 1003908898
Title
Owner
Phone
(703) 494-3070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

1700 Rosedale CT
Woodbridge, VA 22191-3016

Mailing address

1700 Rosedale CT
Woodbridge, VA 22191-3016

Other identifiers 5

IdentifierTypeStateIssuer
5407OtherDC PROVIDER NUMBER
C11074OtherVAPTAN
9302409MedicaidVA
026083OtherBLUE CROSS BLUE SHIELD
480000105OtherMEDICARE PTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1295061851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 ROSEDALE CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 ROSEDALE CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913016",
            "telephone_number": "703-494-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMES & GUY PODIATRISTS, P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-494-3070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC PROVIDER NUMBER",
            "identifier": "5407",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "C11074",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9302409",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "026083",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "480000105",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.