MR. DOUGLAS P HOLMES JR. (NPI# 1407883721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407883721 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS P HOLMES JR. |
| Credential | CRNA |
| Practice Address |
1801 Martin Luther King Jr Dr Helena AR 72342-8998 |
| Mailing Address |
Po Box 771522 Memphis TN 38177-1522 |
| Practice Telephone | 8708163780 |
| Practice Fax Number | 9012612542 |
| Mailing Telephone | 9017474624 |
| Mailing Fax Number | 9012612542 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2015-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | R043168 | AR | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | C001100 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | ARKANSAS BLUE CROSS BLUE SHIELD | 1407883721 | 01 |
| AR | 134707701 | 05 | |
| AR | BAPTIST HEALTH SERVICES GROUP, INC. | 1407883721 | 01 |
| AR | CAQH PROVIDER NUMBER | 12605613 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215106786 | Douglas H Holmes | Anesthesiology | 2020 N Lincoln Pk West, #16m, Chicago, IL 60614 | 2008-02-28 |
| 1609960079 | Douglas Eugene Holmes | Dentist | 4412 Sw Brace Point Dr, Seattle, WA 98136-2641 | 2006-10-03 |
| 1790888287 | Douglas R Holmes | Dentist | 3610 2nd Ave, Kearney, NE 68847 | 2006-09-07 |
| 1073565487 | Douglas L Holmes | Specialist | 307 S Jackson St, Casper, WY 82601-2908 | 2006-05-16 |
| 1992216949 | Douglas Calder Holmes | Counselor | 1400 Emeline Ave, Santa Cruz, CA 95060-1976 | 2017-10-17 |
| 1467608505 | Douglas C. Holmes | Dentist | Psc 9, Box 2742, Apo, AE 09123-9998 | 2008-08-08 |
| 1396753950 | Douglas Holmes | Family Medicine | 1825 Maple St, Forest Grove, OR 97116-1939 | 2006-08-03 |
| 1861460156 | Douglas Kent Holmes | Otolaryngology | 3820 Ed Dr, Raleigh, NC 27612-8037 | 2006-03-10 |
| 1871586263 | Douglas S. Holmes | Internal Medicine | 550 1st Ave, Th576, New York, NY 10016-6402 | 2005-08-31 |
| Street Address |
1801 MARTIN LUTHER KING JR DR |
| City | HELENA |
| State | AR |
| Zip Code | 72342-8998 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376528521 | Helena Radiology Inc | Radiology | 1801 Martin Luther King Jr Dr, Helena, AR 72342-8998 | 2005-12-09 |
| 1114467461 | App of Arkansas Hm, Pllc | Emergency Medicine | 1801 Martin Luther King Jr Dr, Helena, AR 72342-8998 | 2017-03-06 |
| 1740730290 | Teresa Roseberry | Nurse Practitioner | 1801 Martin Luther King Jr Dr, Helena, AR 72342-8998 | 2016-10-08 |
| 1336698828 | App of Arkansas Ed Pllc | Hospitalist | 1801 Martin Luther King Jr Dr, Helena, AR 72342-8998 | 2016-09-26 |
| 1710203609 | Helena Imaging, Pllc | Radiology | 1801 Martin Luther King Jr Dr, Helena, AR 72342-8998 | 2010-04-16 |
| 1679705370 | Helena Emergency Physicians Pllc | Emergency Medicine | 1801 Martin Luther King Jr Dr, Helena, AR 72342-8998 | 2009-08-13 |
| 1710116801 | Praveen Chowdary Kanneganti | Internal Medicine | 1801 Martin Luther King Jr Dr, Helena, AR 72342-8998 | 2009-07-09 |
| 1083852768 | Phillips Physician Services LLC | Hospitalist | 1801 Martin Luther King Jr Dr, Helena, AR 72342-8998 | 2009-02-03 |
| 1073775466 | John Andrew Oliver | Radiology | 1801 Martin Luther King Jr Dr, Helena, AR 72342-8998 | 2008-06-27 |
| 1427235449 | The Moore Clinic for Women's Health | Obstetrics & Gynecology | 1801 Martin Luther King Jr Dr, Helena, AR 72342-8998 | 2008-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992342968 | Jamie R Lee | Case Manager/Care Coordinator | 211 Missouri Street, Helena, AR 72342 | 2019-12-09 |
| 1023249315 | Harland Courtney Moore | Physical Therapist | 1801 Martin Luther King Dr., Helena, AR 72342 | 2009-08-04 |
| 1740438316 | Laura Deitz | Speech-Language Pathologist | 1000 Campus Drive, Helena, AR 72342 | 2008-09-08 |
| 1396965026 | P.vasudevanmd,pllc | Urology | 1393 Highway 242 South, West Helena, AR 72342 | 2007-04-26 |
| 1316009723 | Browning Management Corp | Dentist | 663a Oakland Ave, Helena, AR 72342 | 2006-12-14 |
| 1427156660 | Robert Ian Campbell | Dentist | 408 Porter Street, Helena, AR 72342 | 2006-09-20 |
| 1003879362 | William R Frederick | Ophthalmology | 126 Hickory Hill Dr, Helena, AR 72342 | 2006-04-08 |
| 1841604295 | Michael Thomas | Case Manager/Care Coordinator | 801 Newman Dr, Helena, AR 72342 | 2014-06-13 |
| 1952745846 | Demetrius Lashay Austin | Case Manager/Care Coordinator | 211 Missouri, Helena, AR 72342 | 2013-04-22 |
| 1497903066 | Pam Pippenger | Speech-Language Pathologist | 1000 Campus Drive, Helena, AR 72342 | 2008-09-08 |
| Find all providers in zip 72342 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447625702 | Elkhorn Anesthesia | Nurse Anesthetist, Certified Registered | 3116 Saddle Dr Ste 1, Helena, MT 59601-8645 | 2015-12-11 |
| 1285884049 | Kellie A. Wendt | Nurse Anesthetist, Certified Registered | 3116 Saddle Dr, Ste. 2, Helena, MT 59601-8645 | 2008-09-29 |
| 1982620670 | Kim D. Hackl | Nurse Anesthetist, Certified Registered | 2475 E Broadway St, Helena, MT 59601-4928 | 2006-07-14 |
| 1396761086 | David E. Anderson | Nurse Anesthetist, Certified Registered | 2475 E Broadway St, Helena, MT 59601-4928 | 2006-07-14 |
| 1245294313 | Arthur Houston Burns | Nurse Anesthetist, Certified Registered | 1801 Martin Luther King Jr Dr, Helena, AR 72342-8998 | 2006-04-14 |
| 1841268737 | Earnest Edward Gilliam Jr. | Nurse Anesthetist, Certified Registered | 1801 Martin Luther King Jr Dr, Helena, AR 72342-8998 | 2006-03-08 |
| 1952386633 | Scott C Gentry | Nurse Anesthetist, Certified Registered | 1801 Martin Luther King Jr Dr, Helena, AR 72342-8998 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231623 | Prime Anesthesia Pllc | Nurse Anesthetist, Certified Registered | 3711 Stillman Loop, Bryant, AR 72022-9074 | 2020-09-29 |
| 1902414584 | Kevin Hannah, LLC | Nurse Anesthetist, Certified Registered | 11446 Mountain Spring Dr, Fayetteville, AR 72701-0422 | 2020-07-20 |
| 1356961114 | Kayla Brooke Mazzanti | Nurse Anesthetist, Certified Registered | 1401 Scott St Apt 411, Little Rock, AR 72202-5083 | 2020-04-22 |
| 1396364030 | Caleb Casey Tolbert | Nurse Anesthetist, Certified Registered | 42 Bryson Dr, Ward, AR 72176-9639 | 2020-04-13 |
| 1013551480 | Polk Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 5800 W 10th St Ste P1, Little Rock, AR 72204-1700 | 2019-10-29 |
| 1699327841 | Mana Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 3344 N Futrall Dr Ste 3, Fayetteville, AR 72703-4057 | 2019-07-09 |
| 1275196065 | Amanda Sharrell Thomas | Nurse Anesthetist, Certified Registered | 1 Willow Creek Ln Apt 1111, Jonesboro, AR 72404-8098 | 2019-04-17 |
| 1700343324 | Benjamin Jeffrey Spillyards | Nurse Anesthetist, Certified Registered | 22020 Dixie Rd, Little Rock, AR 72223-9269 | 2019-03-01 |
| 1245728914 | Karina Coats | Nurse Anesthetist, Certified Registered | 2409 Skyline Pt, Jonesboro, AR 72404 | 2018-04-27 |
| 1154818292 | Lindy Sanders Page | Nurse Anesthetist, Certified Registered | 4406 Catskill Ave, Benton, AR 72019-4906 | 2018-04-14 |
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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.