Individual provider Active NPI

Pamela D Holmes, MD

  • Pediatrics Physician
  • Cincinnati, OH
National Provider Identifier
1609086404
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.092594 Issued in OH
Practice address
663 Anderson Ferry Rd
Attn: Susan Propes
Cincinnati, OH 45238-4751
Phone
(513) 922-8200
Fax
(513) 347-0082
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35.092594 OH Primary

Addresses

Primary practice location

663 Anderson Ferry Rd
Attn: Susan Propes
Cincinnati, OH 45238-4751

Mailing address

663 Anderson Ferry Rd
Attn: Susan Propes
Cincinnati, OH 45238-4751
Phone (513) 922-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091009000169 OH Practitioner - Pediatric Medicine 3476699117 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Medical Center Pediatrics CurrentSince Aug 23, 2009 Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

663 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 347-2404

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

7074 Harrison Ave
Ste 678
Cincinnati, OH 45247

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1609086404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 ANDERSON FERRY RD",
            "address_2": "ATTN: SUSAN PROPES",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452384751",
            "telephone_number": "513-922-8200",
            "fax_number": "513-347-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 ANDERSON FERRY RD",
            "address_2": "ATTN: SUSAN PROPES",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452384751",
            "telephone_number": "513-922-8200",
            "fax_number": "513-347-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "PAMELA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.092594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.