J MELBURN D HOLMES (NPI# 1477550051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477550051 |
| Entity Type | Individual |
| Full Name | J MELBURN D HOLMES |
| Credential | MD |
| Practice Address |
1950 Main St Roanoke AL 36274-2421 |
| Mailing Address |
1950 Main St. J Melburn D. Holmes Roanoke AL 36274-0665 |
| Practice Telephone | 3348632311 |
| Practice Fax Number | 3348635596 |
| Mailing Telephone | 3348632311 |
| Mailing Fax Number | 3348635596 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2013-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 00009079 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | RAILROAD MEDICARE | 410013859 | 01 |
| AL | 051555463 | 05 | |
| AL | BLUE CROSS OF ALABAMA | 51000500 | 01 |
| Street Address |
1950 MAIN ST |
| City | ROANOKE |
| State | AL |
| Zip Code | 36274-2421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104472208 | Kimberly Kristin Cummings | Nurse Practitioner | 1950 Main St, Roanoke, AL 36274-2512 | 2019-08-14 |
| 1548673403 | Samantha Baggett | Nurse Practitioner | 1950 Main St, Roanoke, AL 36274-2512 | 2014-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144520446 | Eagle Drugs LLC | Pharmacy | 3705 Hwy 431, Roanoke, AL 36274 | 2010-11-02 |
| 1538498431 | Harriet Elizabeth Chappell | Nurse Practitioner | 1026 Lafayette Parkway, Roanoke, AL 36274 | 2009-12-24 |
| 1194917096 | William Robert Dixson | Pharmacist | 4108 United States Highway 431, Roanoke, AL 36274 | 2007-08-14 |
| 1841416542 | Lincare Inc | Durable Medical Equipment & Medical Supplies | 935 Hwy 431, Suite 3, Roanoke, AL 36274 | 2007-04-18 |
| 1144322504 | Russell D Peterson | Family Medicine | 965 Us Hwy 431, Roanoke, AL 36274 | 2006-09-05 |
| 1104003987 | Randolph Medical Associates | Spec/Tech, Cardiovascular | 965 Us Hwy 431, Roanoke, AL 36274 | 2008-01-24 |
| 1497815120 | Randolph Medical Associates, PC | Family Medicine | 965 Us Hwy 431, Roanoke, AL 36274 | 2006-12-11 |
| 1417023987 | State of Alabama Department of Public Health | Home Health | 320 Main Street, Roanoke, AL 36274 | 2006-11-28 |
| 1841379617 | State of Alabama Department of Public Health | Home Health | 320 Main Street, Roanoke, AL 36274 | 2006-11-03 |
| 1568545382 | State of Alabama Department of Public Health | Home Health | 320 Main Street, Roanoke, AL 36274 | 2006-10-23 |
| Find all providers in zip 36274 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1326220591 | J Melburn D Holmes | General Practice | 32 Medical Dr, Ste 7, Roanoke, AL 36274-2421 | 2007-11-29 |
| 1538294640 | Southwest Medical Clinic | General Practice | 4079 Electric Rd, Roanoke, VA 24018-8442 | 2007-02-22 |
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| 1073964979 | Taurin Pyongkap Lee | General Practice | 2713 Downing St, Huntsville, AL 35801 | 2016-06-22 |
| Find all providers with the same taxonomy | ||||
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| 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.