Active NPI
Edwin R Holmes III, MD
- Nuclear Radiology Physician
- Spokane, WA
National Provider Identifier
1720041031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Radiology Physician
- License
- MD00017183
- Practice address
- 1314 S Grand Blvd Ste 2-315
Spokane, WA 99202-1174 - Phone
- (509) 999-7654
- NPI assigned
- Apr 8, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | MD00017183 | WA | Primary |
| Diagnostic Radiology Physician | 2085R0202X | MD00017183 | WA |
Addresses
Primary practice location
1314 S Grand Blvd Ste 2-315
Spokane, WA 99202-1174
Mailing address
1314 S Grand Blvd Ste 2-315
Spokane, WA 99202-1174
Phone (509) 999-7654
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00017183 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
| Integra Imaging, PS | Diagnostic Radiology | Past | Accepting new patients |
| Inland Pacific Imaging LLC | Past | Accepting new patients | |
| Inland Imaging Associates, PS | Diagnostic Radiology | Past | Accepting new patients |
| Inland Imaging Associates PS | Nuclear Radiology | Past | Accepting new patients |
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.
-
- Surgical Physician Assistant
- Spokane, WA
- NPI 1770544512
Nuclear Radiology
-
- Diagnostic Radiology Physician
- Spokane, WA
- NPI 1225369515
-
- Diagnostic Radiology Physician
- Spokane, WA
- NPI 1851352348
-
- Mammography Clinic/Center
- Seattle, WA
- NPI 1477514966
-
- Diagnostic Radiology Physician
- Spokane, WA
- NPI 1205189461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214265600000",
"number": "1720041031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 S GRAND BLVD STE 2-315",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021174",
"telephone_number": "509-999-7654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 S GRAND BLVD STE 2-315",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021174",
"telephone_number": "509-999-7654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "EDWIN",
"middle_name": "R",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-08",
"last_updated": "2008-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "WA",
"license": "MD00017183",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MD00017183",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.