ED HOLMES (NPI# 1437166659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437166659 |
| Entity Type | Individual |
| Full Name | ED HOLMES |
| Credential | MD |
| Practice Address |
500 Foothill Blvd Building 2, Second Floor C&p Clinic Salt Lake City UT 84148-0001 |
| Mailing Address |
2262 High Ridge Ln Sandy UT 84092-4859 |
| Practice Telephone | 8015821565 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
188594-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
500 FOOTHILL BLVD BUILDING 2, SECOND FLOOR C&P CLINIC |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84148-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376547646 | Terri Evans | Pharmacist | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2005-06-02 |
| 1841818325 | Abigale Briscoe | Pharmacist | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2020-07-10 |
| 1053947804 | Channing Jovi Cochran | Psychologist | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2020-03-12 |
| 1972138337 | Ryan Scott | Registered Nurse | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2020-03-05 |
| 1932756319 | Christine Rosner | Psychologist | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2019-08-21 |
| 1770137994 | Courtney Sedillo | Nurse Practitioner | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2019-07-25 |
| 1942866991 | Erika Jill Smith | Dietitian, Registered | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2019-05-15 |
| 1629548854 | Nicole Legarreta | Social Worker | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2018-11-30 |
| 1780159269 | Jill Henningfeld | Nurse Practitioner | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2018-10-10 |
| 1275010035 | Leigh-andrew Thomas Sampson-seitz | Registered Nurse | 500 Foothill Blvd, Salt Lake City, UT 84148 | 2018-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598211799 | Jacquelyn Rae Contant | Dietitian, Registered | 500 Foothill Dr. (120), Salt Lake City, UT 84148 | 2016-08-28 |
| 1699127811 | Taylor Alford | Pharmacist | 500 Foothills Drive, Salt Lake City, UT 84148 | 2016-07-12 |
| 1356792162 | Sarah Hummel | Genetic Counselor, MS | 500 Foothill Drive, Sarah Hummel, Va Salt Lake City, Genomic Medicine (10p4e), Salt Lake City - Salt Lake, UT 84148 | 2016-06-23 |
| 1174936140 | Elizabeth Shade Cardenas | Nurse Practitioner | 500 Foothill Drive #182h, Veterans Healthcare Administration, Salt Lake City, UT 84148 | 2014-06-08 |
| 1386904043 | David Earl Moore | Specialist | 500 Foothill Blvd (research), George E. Wahlen Va Healthcare System, Salt Lake City, UT 84148 | 2012-05-29 |
| 1790059038 | Deborah Ernstein Holley Hartzfeld | Genetic Counselor, MS | 615 Arapeen Drive #212, Salt Lake City, UT 84148 | 2012-03-05 |
| 1073823720 | Diana Lynn Robbins | Social Worker | 9140 W. Post Road, Las Vegas, NV 84148 | 2010-10-15 |
| 1659534394 | Katherine Margaret Dunn | Genetic Counselor, MS | 500 Foothill Drive (151z), Salt Lake City, UT 84148 | 2008-07-02 |
| 1730381625 | Douglas James Ball | Medical Genetics | Va Salt Lake City Health Care System 10p11, Salt Lake City, UT 84148 | 2007-06-03 |
| 1245339530 | Daniel H Priestly | Radiology | 500 Foothill Dr., Salt Lake City, UT 84148 | 2006-09-22 |
| Find all providers in zip 84148 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164707105 | Alice Dowling | Preventive Medicine | 3837 E Sunnydale Ln, Salt Lake City, UT 84108-1523 | 2011-10-20 |
| 1366764540 | Lynne Marie Morgan | Preventive Medicine | 460 Redondo Ave, Salt Lake City, UT 84115-2226 | 2010-02-16 |
| 1538760228 | Summer Soleil Hammond | Preventive Medicine | 515 S 700 E Ste 2a, Salt Lake City, UT 84102-2855 | 2020-11-08 |
| 1245455096 | Mark Vernon Anderson | Preventive Medicine | 2390 S Redwood Rd, Salt Lake City, UT 84119-2027 | 2007-04-16 |
| 1659404424 | Carla Hoffman Olsen | Preventive Medicine | 2390 S Redwood Rd, Salt Lake City, UT 84119-2027 | 2007-03-13 |
| 1073640538 | Ihc Health Services Inc | Preventive Medicine | 1685 W 2200 S, Salt Lake City, UT 84119-1456 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598190472 | Healthstat On-site Clinic/milliken St. Georg | Preventive Medicine | 961 E Commerce Dr, St George, UT 84790-4737 | 2013-09-10 |
| 1346253945 | Susanne Christine Thobe | Preventive Medicine | Bldg 5116 Kister Avenue, Dugway, UT 84022 | 2006-08-14 |
| 1285698217 | Annette G Burst | Preventive Medicine | 3500 Harrison Blvd Ste 200, Ogden, UT 84403-2038 | 2006-04-14 |
| 1568439156 | William C Otto | Preventive Medicine | 629 Coyote Cv, A, Dugway, UT 84022-1079 | 2006-03-02 |
| 1437692324 | Ihc Health Services Inc | Preventive Medicine | 1665 Bonanza Dr, Park City, UT 84060-5127 | 2016-11-23 |
| 1376744086 | Ihc Health Services Inc | Preventive Medicine | 962 Sage Dr, Cedar City, UT 84720-1885 | 2007-05-30 |
| 1982816351 | Philip Jiricko | Preventive Medicine | 2400 N Washington Blvd, North Ogden, UT 84414-7233 | 2007-05-05 |
| 1396968731 | Ihc Health Services Inc | Preventive Medicine | 385 N 3050 E, St George, UT 84790-9003 | 2007-04-11 |
| 1760516629 | Ihc Health Services Inc | Preventive Medicine | 505 W 400 N, Orem, UT 84057-1950 | 2007-03-15 |
| 1245360031 | Ihc Health Services Inc | Preventive Medicine | 1355 Hinkley Dr, Ogden, UT 84401-3376 | 2007-03-07 |
| Find all providers with the same taxonomy | ||||
| City | SALT LAKE CITY |
| Zip Code | 84148 |
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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.