Organization Active NPI

Holmes Family Medicine, Inc

  • Family Medicine Physician
  • Millersburg, OH
National Provider Identifier
1831200773
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-05-3793 Issued in OH
Legal business name
HOLMES FAMILY MEDICINE, INC
Practice address
151 Parkview Dr
Millersburg, OH 44654-8949
Phone
(330) 674-1200
Fax
(330) 674-3320
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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

Authorized official

Name
Lindsay Horst
Title
Office Coordinator
Phone
(330) 674-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35-05-3793 OH Primary

Addresses

Primary practice location

151 Parkview Dr
Millersburg, OH 44654-8949

Mailing address

151 Parkview Dr
Millersburg, OH 44654-8949
Phone (330) 674-1200

Other identifiers 1

IdentifierTypeStateIssuer
0974736MedicaidOH

Other names 1

  • Holmes Family Practice Center, Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040216000075 OH Part B Supplier - Clinic/Group Practice 0042104531 Receives reassigned benefits from 8 practitioners
Practice locations: Millersburg, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0342967Holmes Family Medicine Inc151 Parkview Drive, Millersburg, OH 44654Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1831200773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 PARKVIEW DR",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446548949",
            "telephone_number": "330-674-1200",
            "fax_number": "330-674-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 PARKVIEW DR",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446548949",
            "telephone_number": "330-674-1200",
            "fax_number": "330-674-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMES FAMILY MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "HORST",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "330-674-1200"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-05-3793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0974736",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holmes Family Practice Center, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Millersburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.