Active NPI
Fred D. Holmes, M.D., a Professional Corporation
- Anesthesiology Physician
- Phoenix, AZ
National Provider Identifier
1881646800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- FRED D. HOLMES, M.D., A PROFESSIONAL CORPORATION
- Practice address
- 300 W Clarendon Ave
Suite 142
Phoenix, AZ 85013-3449 - Phone
- (602) 234-1803
- Fax
- (602) 234-3748
- NPI assigned
- May 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fred D Holmes, M.D.
- Title
- Owner
- Phone
- (602) 234-1803
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
300 W Clarendon Ave
Suite 142
Phoenix, AZ 85013-3449
Mailing address
PO Box 36680
Phoenix, AZ 85067-6680
Phone (602) 234-1803
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB5827 | Other | AZ | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
111 E McDowell
Box 2989
Phoenix, AZ 85004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1457049600000",
"number": "1881646800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 36680",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850676680",
"telephone_number": "602-234-1803",
"fax_number": "602-234-3748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W CLARENDON AVE",
"address_2": "SUITE 142",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133449",
"telephone_number": "602-234-1803",
"fax_number": "602-234-3748"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRED D. HOLMES, M.D., A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2016-03-04",
"status": "A",
"authorized_official_last_name": "HOLMES",
"authorized_official_first_name": "FRED",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-234-1803",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DB5827",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.