JED D HOLMES


Address: 7111 E 21st Street N, Suite A, Wichita, KS 67206
Phone: 3166842851

JED D HOLMES (NPI# 1033111331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033111331
Entity Type Individual
Full Name JED D HOLMES
Credential MD
Practice Address 7111 E 21st Street N
Suite A
Wichita
KS 67206
Practice Telephone 3166842851
Practice Fax Number 3166867338
Mailing Telephone 3166842851
Mailing Fax Number 3166867338
Enumeration Date 2005-06-01
Last Update Date 2012-10-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 04-18241 KS Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KS 100416440A 05
KS 100084320B 05
KS BLUE CROSS INDIVIDUAL 101601 01
KS CHAMPUS 101601 01
KS RAILROAD MEDICARE 80186351 01
IA FIRSTGUARD 621541 01
KS BLUE CROSS GROUP 110718 01

Office Location

Street Address 7111 E 21ST STREET N
SUITE A
City WICHITA
State KS
Zip Code 67206

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710980164 Paul H Davis Family Medicine 7111 E 21st Street N, Suite A, Wichita, KS 67206 2005-05-31
1659300051 James P Keller Family Medicine 7111 E 21st Street N, Ste A, Wichita, KS 67206 2006-06-30
1144258484 Charlene C Bui Family Medicine 7111 E 21st Street N, Suite A, Wichita, KS 67206 2006-06-28
1821044173 Hai K Truong Family Medicine 7111 E 21st Street N, Suite A, Wichita, KS 67206 2006-05-26
1225009616 Thanh N Truong Internal Medicine 7111 E 21st Street N, Suite A, Wichita, KS 67206 2006-02-01
1336149137 Darla K Rivera Family Medicine 7111 E 21st Street N, Suite A, Wichita, KS 67206 2005-07-22
1336145911 Angela M Leiker Family Medicine 7111 E 21st Street N, Suite A, Wichita, KS 67206 2005-06-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760020846 Founders Surgery Center, LLC Clinic/Center 1961 N Founders Circle, Wichita, KS 67206 2019-12-19
1174006613 Courtney Dawn Simon Physical Therapist 9360 E Central Ave Ste 100, Wichita, KS 67206 2018-09-11
1902308919 Center At Waterfront LLC Skilled Nursing Facility 1541 North Lindberg Circle, Wichita, KS 67206 2018-03-06
1750804597 Katelyn Aguiar Psychologist 250 N Rock Rd Ste 210, Wichita, KS 67206 2017-07-24
1457888778 Mona Kay Cherryholmes Social Worker 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 2017-05-17
1164899415 Elizabeth Herl Marriage & Family Therapist 250 N Rock Rd Ste 150, Wichita, KS 67206 2015-08-21
1851715510 Ndjj Corp Custodial Care Facility 6403 E Marjore, Wichita, KS 67206 2014-02-14
1801238217 Courtney Ann Lang Physical Therapist 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 2013-07-26
1194063032 Peak Performance Health Pa Chiropractor 10111 E 21st St, #106, Wichita, KS 67206 2013-01-28
1750629002 Rachel Marie Conrad Speech-Language Pathologist 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 2013-01-22
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598370892 River City Osteopathic Clinic Family Medicine 401 E 1st St, Wichita, KS 67202-2501 2020-09-14
1477108603 Laurie Irene Haury Family Medicine 818 N Emporia St Ste 107, Wichita, KS 67214-3725 2019-08-05
1437546173 Nguyen Family Medicine LLC Family Medicine 1431 S Bluffview Dr Ste 212, Wichita, KS 67218-3039 2015-04-21
1427447853 Safia Lyon Family Medicine 12115 E 21st St N Ste 107, Wichita, KS 67206-3571 2015-01-22
1841628013 Joseph Michael Stech Family Medicine 940 S. St. Francis, Guadalupe Clinic, Wichita, KS 67211 2013-10-24
1134496193 Wichita Pain Associates Pa Family Medicine 2548 N Maize Ct, Suite 104, Wichita, KS 67205-7347 2011-11-18
1831485317 Nicholas Andrew Tomsen Family Medicine 1126 S Clifton Ave, Wichita, KS 67218-2913 2011-06-23
1538454905 Michael C Scheve Family Medicine 2135 N Ridge Rd Ste 400, Wichita, KS 67212-1404 2011-06-14
1124347083 Joshua Tibbe Family Medicine 5000 S Clifton Ave, Ste 200, Wichita, KS 67216-3408 2010-05-18
1912233594 Amity Health, LLC Family Medicine 7200 W 13th St N Ste 5, Wichita, KS 67212-2968 2009-11-02
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City WICHITA
Zip Code 67206

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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