Active NPI
Scott Holmes, M.D.
- Emergency Medicine Physician
- Ionia, MI
National Provider Identifier
1790883189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- HS056453
- Practice address
- 479 Lafayette St
Ionia, MI 48846-1834 - Phone
- (616) 527-4200
- Fax
- (616) 527-5731
- NPI assigned
- Sep 20, 2006
- Last updated
- Jan 24, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | HS056453 | MI | Primary |
Addresses
Primary practice location
479 Lafayette St
Ionia, MI 48846-1834
Mailing address
479 Lafayette St
Ionia, MI 48846-1834
Phone (616) 527-4200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2937715 | Other | MI | MOLINA |
| 02630 | Other | MI | PRIORITY HEALTH PAY TO # |
| 1003025 | Other | MI | MCLAREN |
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 |
|---|---|---|---|
| HS056453 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faith Works LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community Health Worker
- Stanton, MI
- NPI 1790918977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201132800000",
"number": "1790883189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "479 LAFAYETTE ST",
"city": "IONIA",
"state": "MI",
"postal_code": "488461834",
"telephone_number": "616-527-4200",
"fax_number": "616-527-5731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "479 LAFAYETTE ST",
"city": "IONIA",
"state": "MI",
"postal_code": "488461834",
"telephone_number": "616-527-4200",
"fax_number": "616-527-5731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "SCOTT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2008-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "HS056453",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "2937715",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORITY HEALTH PAY TO #",
"identifier": "02630",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN",
"identifier": "1003025",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ionia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 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.